Doctor Name: | CECILY P JUDD |
NPI Number: | 1730328824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC8015 |
Business Practice Address: | 322 Main St Bar Harbor, ME - 046091648 |
Business Phone Number: | 2072888604 |
Business Fax Number: | 2072888602 |
Mailing Address: | 10 Wayman Ln, BAR HARBOR |
State: | ME |
Postal Code: | 046091625 |
Phone Number: | 2072885081 |
Fax Number: | 2072888600 |
NPI Enumeration Date: | 02/12/2009 |
NPI Last Update Date: | 04/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC8015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |