Provider Demographics
NPI:1639328776
Name:JUDY, SABRINA MARIE (MA)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:MARIE
Last Name:JUDY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 OVERLOOK RIDGE TER UNIT 407
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-1177
Mailing Address - Country:US
Mailing Address - Phone:857-389-8714
Mailing Address - Fax:
Practice Address - Street 1:15 UNION ST STE 2
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1823
Practice Address - Country:US
Practice Address - Phone:978-688-4830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor