Provider Demographics
NPI:1578230348
Name:LAWYER, JUDY RAE (LMFT)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:RAE
Last Name:LAWYER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 E WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-1243
Mailing Address - Country:US
Mailing Address - Phone:626-422-0819
Mailing Address - Fax:
Practice Address - Street 1:730 E WOODBURY RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-1243
Practice Address - Country:US
Practice Address - Phone:626-422-0819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT20728106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist