Provider Demographics
NPI:1811967326
Name:ZARIT, JUDY MAES (PHD)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:MAES
Last Name:ZARIT
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 1:1993 CATO AVE
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-2754
Mailing Address - Country:US
Mailing Address - Phone:814-231-8820
Mailing Address - Fax:814-231-8857
Practice Address - Street 1:1993 CATO AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-2754
Practice Address - Country:US
Practice Address - Phone:814-231-8820
Practice Address - Fax:814-231-8857
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004981-L103G00000X
PAPS 004981-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA680007495OtherRAILROAD MEDICARE
PA73043OtherCIGNA
PAMHS181279OtherVALUE OPTIONS
PA73043OtherCIGNA