Healthcare Provider Details

I. General information

NPI: 1437039203
Provider Name (Legal Business Name): TERRENCE D. JUDD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 REGENCY PKWY
CARY NC
27518-8549
US

IV. Provider business mailing address

105 BROOKSIDE CT
FARMINGTON NM
87401-3563
US

V. Phone/Fax

Practice location:
  • Phone: 919-897-7864
  • Fax: 919-887-0463
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6877
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: