Provider Demographics
NPI:1437147329
Name:LUHR, JUDITH (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:LUHR
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 1:180 WEST POPLAR STREET
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3310
Mailing Address - Country:US
Mailing Address - Phone:516-652-3917
Mailing Address - Fax:516-437-7479
Practice Address - Street 1:137 BROADWAY
Practice Address - Street 2:SUITE D-2
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2731
Practice Address - Country:US
Practice Address - Phone:631-608-8447
Practice Address - Fax:516-437-7479
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008237-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY620005395OtherMEDICARE - RAILROAD
NY01896726Medicaid
NY620005395OtherMEDICARE - RAILROAD