Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 03540 | MD |
N | 103TC1900X | Counseling Psychologist | PSY 1000018 | DC |
NPI | 1043569098 |
---|---|
Provider Name | Dr. Ann B Judge |
First Address | Annapolis, MD 21401-3854 |
Second Address | Annapolis, MD 21401-3854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2012 |
Last Update Date | 06/09/2012 |