Doctor Name: | MRS. JUDITH ELAINE TUNKLE |
NPI Number: | 1841244068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED |
License Number: | LC1529 |
Business Practice Address: | 21 West Rd Suite 150 Towson, MD - 212042325 |
Business Phone Number: | 4108802504 |
Business Fax Number: | 4108250310 |
Mailing Address: | 21 West Rd, Suite 150 TOWSON |
State: | MD |
Postal Code: | 212042325 |
Phone Number: | 4108802504 |
Fax Number: | 4108250310 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LC1529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |