| Doctor Name: | MRS. JUDITH OLSON APPLEGATE |
| NPI Number: | 1972761039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 02225 |
| Business Practice Address: | 5 Crow Hill Rd Uncasville, CT - 063821118 |
| Business Phone Number: | 8608626278 |
| Business Fax Number: | 8608626324 |
| Mailing Address: | 5 Crow Hill Rd, UNCASVILLE |
| State: | CT |
| Postal Code: | 063821118 |
| Phone Number: | 8608626278 |
| Fax Number: | 8608626324 |
| NPI Enumeration Date: | 05/27/2008 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | 02225 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |