Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUDITH G TUDIVER, PH.D.
Active Sole ProprietorDR. JUDITH G TUDIVER, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in JOHNSON CITY, Tennessee. NPI 1316940182 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1316940182
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2005 (21.080851762926 yrs)
- Last Updated
- Jul 9, 2007
- License
-
P0000002479 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 E UNAKA AVEJOHNSON CITY, TN, 376014030Browse TN providers · Browse ZIP 37601
- Phone
- 4233414752
- Fax
- 4232830931
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.