MEDICARE: DR. JUDITH ANNE SAXTON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	PS007784L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	639429	OTHER	PA	HIGHMARK
2	110243	OTHER	PA	UPMC

General Provider Information

NPI Number	:	1447212352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH ANNE SAXTON PH.D.

Provider Business Mailing Address
First Line	:	9406 BABCOCK BLVD
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-2011
Country	:	US
Telephone Number	:	412-367-5134
Fax Number	:	412-367-5134

Provider Business Practice Location Address
First Line	:	5000 MCKNIGHT RD
Second Line	:	SUITE 207
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-3420
Country	:	US
Telephone Number	:	412-779-9558
Fax Number	:	412-367-5134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	07/08/2007

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