Provider Demographics
NPI:1801949110
Name:JUDGE, BERNARDETTE ER (MSW)
Entity type:Individual
Prefix:
First Name:BERNARDETTE
Middle Name:ER
Last Name:JUDGE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:NARDA
Other - Middle Name:
Other - Last Name:JUDGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:3410 DOVER ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2720
Mailing Address - Country:US
Mailing Address - Phone:707-254-8519
Mailing Address - Fax:
Practice Address - Street 1:3299 CLAREMONT WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3313
Practice Address - Country:US
Practice Address - Phone:707-253-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker