Judge, Daverne
Judge, Daverne is an sole proprietor health care provider with primary practice located at 141 Pike Street , Port Jervis NY 12771. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Judge, Daverne can be contacted via phone (845) 858-1456.Contact Information
Primary practice address
141 Pike Street
Port Jervis NY 12771
Phone: (845) 858-1456
Fax: (845) 858-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 073380-1 | New York |
Profile Details
| NPI number | 1841211315 |
|---|---|
| LBN Legal business name | Judge, Daverne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 29th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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