Provider Demographics
NPI:1518184506
Name:ENGELMAN, JUDITH CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:CAROL
Last Name:ENGELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:11046 N 50TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5376
Mailing Address - Country:US
Mailing Address - Phone:602-882-2048
Mailing Address - Fax:602-404-1224
Practice Address - Street 1:11046 N 50TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5376
Practice Address - Country:US
Practice Address - Phone:602-882-2048
Practice Address - Fax:602-404-1224
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ113172084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine