Provider Demographics
NPI:1912305335
Name:CIARROCHI, JUDITH ANN (EDS)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN
Last Name:CIARROCHI
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 YOUNGSTOWN-WARREN ROAD
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446
Mailing Address - Country:US
Mailing Address - Phone:330-505-2800
Mailing Address - Fax:330-505-2814
Practice Address - Street 1:907 MILTON BOULEVARD
Practice Address - Street 2:NEWTON FALLS EXEMPTED VILLAGE SCHOOLS
Practice Address - City:NEWTON FALLS
Practice Address - State:OH
Practice Address - Zip Code:44444
Practice Address - Country:US
Practice Address - Phone:330-872-0695
Practice Address - Fax:330-872-8327
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist