Provider Demographics
NPI:1306937651
Name:WITHROW, JUDITH A (PHD)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:A
Last Name:WITHROW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:222 BECKER ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-1180
Mailing Address - Country:US
Mailing Address - Phone:607-768-0494
Mailing Address - Fax:
Practice Address - Street 1:137 S PUGH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4734
Practice Address - Country:US
Practice Address - Phone:814-867-0727
Practice Address - Fax:814-867-5899
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent