Provider Demographics
NPI:1386028603
Name:AUSLANDER, JUDITH LYNNE (CLINICAL HYPNOTHERAP)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:LYNNE
Last Name:AUSLANDER
Suffix:
Gender:F
Credentials:CLINICAL HYPNOTHERAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11855 SW RIDGECREST DR STE 215
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-6356
Mailing Address - Country:US
Mailing Address - Phone:503-318-9343
Mailing Address - Fax:
Practice Address - Street 1:11855 SW RIDGECREST DR STE 215
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-6356
Practice Address - Country:US
Practice Address - Phone:503-318-9343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist