Provider Demographics
NPI:1841320710
Name:REPP, JUDITH L (LPC)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:L
Last Name:REPP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:JUDY
Other - Middle Name:L
Other - Last Name:REPP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:13233 MONT RD
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17322-8461
Mailing Address - Country:US
Mailing Address - Phone:717-227-0063
Mailing Address - Fax:
Practice Address - Street 1:3206 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2506
Practice Address - Country:US
Practice Address - Phone:717-751-6851
Practice Address - Fax:717-751-6852
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002521101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral