Healthcare Provider Details

I. General information

NPI: 1275665499
Provider Name (Legal Business Name): JUDITH A. WINDSOR LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GERMANTOWN PIKE
LAFAYETTE HILL PA
19444-1800
US

IV. Provider business mailing address

600 GERMANTOWN PIKE
LAFAYETTE HILL PA
19444-1800
US

V. Phone/Fax

Practice location:
  • Phone: 610-825-4450
  • Fax: 610-941-5532
Mailing address:
  • Phone: 610-825-4450
  • Fax: 610-941-5532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF000356
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMF000356
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: