Judith M Petrick LMFT

NPI 1316076722 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1316076722
Gender Female
Enumeration Date 03/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5674 STONERIDGE DR STE 217
PLEASANTON CA, 94588-8532, US
Phone (925) 462-7457
Fax
Business Location
2341 LEIMERT BLVD
OAKLAND CA, 94602-2017, US
Phone (510) 530-2724
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 18003
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According to our database, Mrs. Judith M Petrick LMFT NPI is 1316076722, taxonomy code is 106H00000X and license number is MFC 18003, license state is located at California. Judith M Petrick LMFT physically located at 5674 Stoneridge Dr Ste 217, Pleasanton CA, 94588-8532. NPI Number Judith M Petrick LMFT has the Individual type.

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1316076722 NPI number is provided on an as is basis without warranty of any kind. 1316076722 is maintained by the National Plan & Provider Enumeration System. The contents of Judith M Petrick LMFT are for informational purposes only.