Provider Demographics
NPI:1194713396
Name:HARAN, JUDY (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:
Last Name:HARAN
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 OAKLAND RD
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6832
Mailing Address - Country:US
Mailing Address - Phone:410-795-6161
Mailing Address - Fax:
Practice Address - Street 1:5807 OAKLAND RD
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-6832
Practice Address - Country:US
Practice Address - Phone:410-795-6161
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCSW-C 9231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical