Provider Demographics
NPI:1720393275
Name:WILKINSON, JUDY ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ANN
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE F1
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-5317
Mailing Address - Country:US
Mailing Address - Phone:617-335-3763
Mailing Address - Fax:
Practice Address - Street 1:1666 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE F1
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-5317
Practice Address - Country:US
Practice Address - Phone:617-335-3763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2016-02-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health