Judith Dale Wilcox, ED.D.,N.C.C,.L.P.C.
Individual provider Active NPI Professional Counselor · North Branford, CT
NPI 1114199940 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1114199940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 000445 (CT)
- Practice address
- 61 Chidsey Dr
North Branford, CT 06471-1269 - Phone
- (203) 483-3140
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000445 | CT | Yes |
Addresses
Primary practice location
61 Chidsey Dr
North Branford, CT 06471-1269
Mailing address
61 Chidsey Dr
North Branford, CT 06471-1269
Phone (203) 483-3140
Other providers in North Branford, CT
- Patricia Talburtt
- Town North Branford Counseling Services
- Joseph Vita
- Kathrine Ann Walker
- Richard Francis Whelan
- Theodore Michael Wojcik
- Women'S Health Associates, LLC
All providers in North Branford, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.