Provider Demographics
NPI:1528189479
Name:SPRING, JUDY ROCHELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:ROCHELLE
Last Name:SPRING
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 1:443 WHITE SWAN WAY
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2371
Mailing Address - Country:US
Mailing Address - Phone:215-460-3952
Mailing Address - Fax:
Practice Address - Street 1:443 WHITE SWAN WAY
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-2371
Practice Address - Country:US
Practice Address - Phone:215-968-8843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005204-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA598045Medicare UPIN