Provider Demographics
NPI:1346577228
Name:CEPEDA, JUDITH PATRICIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:PATRICIA
Last Name:CEPEDA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 WONDERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2903
Mailing Address - Country:US
Mailing Address - Phone:512-698-0489
Mailing Address - Fax:
Practice Address - Street 1:2734 WONDERVIEW DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2903
Practice Address - Country:US
Practice Address - Phone:512-698-0489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33597103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist