Active NPIIndividual providerSole proprietor

Dr. Judith G Dederick, PHD

Psychologist, Clinical in Westfield, New Jersey

NPI Number1770747388
Practice location
1453 E Broad St, Westfield, NJ 07090-1131
Fax
—
Last updated
July 13, 2008

Judith G. Dederick is a Psychologist, Clinical based in Westfield, NJ. Judith G. Dederick practices in Westfield, NJ and has the professional credentials of PHD. The NPI Number for Judith G. Dederick is 1770747388 and holds a License No. 35SI00170800 (NJ). The current practice location address for Judith G. Dederick is 1453 E Broad St, Westfield, NJ 07090-1131 and can be reached out via phone at 908-233-7139.

Provider Profile Details

NPI Number
1770747388
Provider Name
Judith G. Dederick
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1453 E Broad St, Westfield, NJ 07090-1131
Phone Number
908-233-7139
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 13, 2008
Last Update Date
July 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1453 E Broad St
Westfield, NJ 07090-1131
Zip
07090-1131
Phone Number
908-233-7139
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
1453 E Broad St
Westfield, NJ 07090-1131
City
Westfield
State
NJ
Zip
07090-1131
Phone Number
908-233-7139

License Information

License Number (1)
35SI00170800
License State (1)
NJ
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
35SI00170800
License State (2)
NJ
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Judith G Dederick, PHD?

The NPI number of Dr. Judith G Dederick, PHD is 1770747388. It was assigned on July 13, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Judith G Dederick, PHD?

Dr. Judith G Dederick, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00170800.

Where does Dr. Judith G Dederick, PHD practice?

The practice location is 1453 E Broad St, Westfield, NJ 07090-1131. The office can be reached at 908-233-7139 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770747388 directly on the NPPES registry website.

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