Provider Demographics
NPI:1346349206
Name:HIMBER, JUDITH (RN PSYD)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:HIMBER
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Gender:F
Credentials:RN PSYD
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Mailing Address - Street 1:9 DAMONMILL SQUARE
Mailing Address - Street 2:SUITE 4C
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-369-4651
Mailing Address - Fax:978-369-4416
Practice Address - Street 1:9 DAMONMILL SQUARE
Practice Address - Street 2:SUITE 4C
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-369-4651
Practice Address - Fax:978-369-4416
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2010-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA6897103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical