Doctor Name: | DR. JUDITH SKENAZY |
NPI Number: | 1710157359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PY00001003 |
Business Practice Address: | 5310 Maple Glen Langley, WA - 98260 |
Business Phone Number: | 3603212810 |
Business Fax Number: | |
Mailing Address: | Po Box 172, FREELAND |
State: | WA |
Postal Code: | 982490172 |
Phone Number: | 3603212810 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PY00001003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |