Doctor Name: | DR. JUDY M SCARPELLI-DWYER |
NPI Number: | 1467504563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | 015677 |
Business Practice Address: | 7472 S Broadway Red Hook, NY - 125711704 |
Business Phone Number: | 8455462106 |
Business Fax Number: | |
Mailing Address: | 1 Evergreen Ln, RHINEBECK |
State: | NY |
Postal Code: | 125721008 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 015677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |