Organization · NPI-2

Judith Carney Psyd LLC

Psychologist, Clinical · Port Saint Lucie, FL

NPI number1245744507
StatusActive
Last updated in NPPESNov 24, 2017

Details

NPI
1245744507
Entity type
Organization (NPI-2)
Legal business name
Judith Carney Psyd LLC
Organization subpart
No
Enumeration date
Nov 24, 2017
Last updated
Nov 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPY9240FLYes

Other names

  • Judith Carney Psyd LLC (Doing Business As)

Practice location

245 Sw North Wakefield Cir
Port Saint Lucie, FL 34953-5443

Phone 561-577-2352

Mailing address

245 Sw North Wakefield Cir
Port Saint Lucie, FL 34953-5443

Phone 561-577-2352

Authorized official

Judith Helene Carney
Owner
5615772352

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