Provider Demographics
NPI:1053332502
Name:KREMPOSKY, JUDITH KATHLEEN (PHD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:KATHLEEN
Last Name:KREMPOSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-1015
Mailing Address - Country:US
Mailing Address - Phone:724-541-3262
Mailing Address - Fax:
Practice Address - Street 1:1809 SIDNEY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1717
Practice Address - Country:US
Practice Address - Phone:412-381-9141
Practice Address - Fax:412-381-7737
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003308L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical