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NPI Code Detail

MEDICARE: MS. JUDITH R. EPSTEIN PH.D.

MEDICARE:  MS. JUDITH R. EPSTEIN  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
1103T00000XPsychologist921CT

General Provider Information

NPI Number : 1912081704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH R. EPSTEIN PH.D.
Provider Business Mailing Address
First Line : 48 STEEP HILL RD
Second Line :
City : WESTON
State : CT
Zip : 06883-1822
Country : US
Telephone Number : 203-227-8792
Fax Number :
Provider Business Practice Location Address
First Line : 48 STEEP HILL RD
Second Line :
City : WESTON
State : CT
Zip : 06883-1822
Country : US
Telephone Number : 203-227-8792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JUDITH R. EPSTEIN PH.D.” Practice Location

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