Provider Demographics
NPI:1942560644
Name:SANCHEZ, JUDITH (MA)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:SANCHEZ
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 1:57 GEORGETOWN DR APT 12
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-7528
Mailing Address - Country:US
Mailing Address - Phone:787-486-1735
Mailing Address - Fax:
Practice Address - Street 1:57 GEORGETOWN DR APT 12
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-7528
Practice Address - Country:US
Practice Address - Phone:787-486-1735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health