Provider Demographics
NPI:1073631719
Name:EPSTEIN, JUDY NEALL (ND)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:NEALL
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:NEALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:79525 CETRINO
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-6587
Mailing Address - Country:US
Mailing Address - Phone:503-329-5538
Mailing Address - Fax:
Practice Address - Street 1:47875 CALEO BAY DR
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-6386
Practice Address - Country:US
Practice Address - Phone:760-771-2332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1119175F00000X
CAND957175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath