Provider Demographics
NPI:1679611396
Name:PFEIFER, JUDITH KATHERINE (MS , LPC)
Entity Type:Individual
Prefix:MISS
First Name:JUDITH
Middle Name:KATHERINE
Last Name:PFEIFER
Suffix:
Gender:F
Credentials:MS , LPC
Other - Prefix:
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Mailing Address - Street 1:96 CROSSROADS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-6523
Mailing Address - Country:US
Mailing Address - Phone:210-736-0106
Mailing Address - Fax:
Practice Address - Street 1:96 CROSSROADS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-6523
Practice Address - Country:US
Practice Address - Phone:210-736-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10351101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional