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NPI Code Detail

MEDICARE: MS. JUDITH L O'CALLAGHAN LMFT, LADC

MEDICARE: MS. JUDITH L O'CALLAGHAN LMFT, LADC
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
1106H00000XMarriage & Family Therapist000999CT
2101YA0400XAddiction (Substance Use Disorder) Counselor000749CT

General Provider Information

NPI Number : 1508988510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH L O'CALLAGHAN LMFT, LADC
Provider Business Mailing Address
First Line : 54 PLUMTREES RD
Second Line :
City : BETHEL
State : CT
Zip : 06801-1645
Country : US
Telephone Number : 203-743-1633
Fax Number : 203-791-8300
Provider Business Practice Location Address
First Line : 4 MAIN ST
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2802
Country : US
Telephone Number : 203-740-2595
Fax Number : 203-740-2287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 03/25/2026

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