Provider Demographics
NPI:1851361448
Name:SHECHTER, JUDITH ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:SHECHTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E LANCASTER AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2145
Mailing Address - Country:US
Mailing Address - Phone:610-642-2353
Mailing Address - Fax:610-642-3278
Practice Address - Street 1:308 E LANCASTER AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2145
Practice Address - Country:US
Practice Address - Phone:610-642-2353
Practice Address - Fax:610-642-3278
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003201L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA445472OtherPSYCHOLOGIST
PA241442290OtherPSYCHOLOGIST
PA1920254OtherPSYCHOLOGIST
PA247081000OtherPSYCHOLOGIST
PA0063014000OtherPSYCHOLOGIST
PA4454978OtherPSYCHOLOGIST