Provider Demographics
NPI:1508073602
Name:SANTOPIETRO, JUDI (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JUDI
Middle Name:
Last Name:SANTOPIETRO
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3820
Mailing Address - Country:US
Mailing Address - Phone:845-597-4510
Mailing Address - Fax:
Practice Address - Street 1:135 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-2912
Practice Address - Country:US
Practice Address - Phone:518-691-0732
Practice Address - Fax:866-942-1556
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000787-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health