Provider Demographics
NPI:1134286982
Name:OLESKI, JUDI (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDI
Middle Name:
Last Name:OLESKI
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 1:206 OVERLAKE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9199
Mailing Address - Country:US
Mailing Address - Phone:919-933-2068
Mailing Address - Fax:
Practice Address - Street 1:206 OVERLAKE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9199
Practice Address - Country:US
Practice Address - Phone:919-933-2068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2161103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist