M Teresa Judge, PH.D.

Individual provider Active NPI Psychologist · Washington, DC

NPI 1508916644 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508916644
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PSY1740 (DC)
Practice address
1924 Park Rd NW
Washington, DC 20010-1021
Phone
(202) 588-1749
NPI assigned
Jan 11, 2007
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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1740DCMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1740 DC Yes

Addresses

Primary practice location

1924 Park Rd NW
Washington, DC 20010-1021

Mailing address

1924 Park Rd NW
Washington, DC 20010-1021
Phone (202) 588-1749

Other providers in Washington, DC

All providers in Washington, DC · Psychologist in District of Columbia

Sources for this page

Verify at the official NPI Registry.