Provider Demographics
NPI:1760554745
Name:WARSCHAUSKY, JUDITH SUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:SUE
Last Name:WARSCHAUSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1618 ORRINGTON AVE
Mailing Address - Street 2:SUITE 328
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-5016
Mailing Address - Country:US
Mailing Address - Phone:312-541-0099
Mailing Address - Fax:847-866-8519
Practice Address - Street 1:1618 ORRINGTON AVE
Practice Address - Street 2:SUITE 328
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5016
Practice Address - Country:US
Practice Address - Phone:312-541-0099
Practice Address - Fax:847-866-8519
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV7E16OtherEMPIRE BCBS
IL016-73358OtherBLUE CROSS BLUE SHIELD
NY278 908OtherVALUE OPTIONS
TX60054OtherAETNA