Provider Demographics
NPI:1386011633
Name:CHOLEWICKI, JUDITH
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:CHOLEWICKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 TREESCAPE DR
Mailing Address - Street 2:UNIT 8
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6580
Mailing Address - Country:US
Mailing Address - Phone:843-573-7373
Mailing Address - Fax:
Practice Address - Street 1:2340 TREESCAPE DR
Practice Address - Street 2:UNIT 8
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6580
Practice Address - Country:US
Practice Address - Phone:843-532-8349
Practice Address - Fax:843-573-7373
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst