Provider Demographics
NPI:1851473250
Name:POHL, JUDITH D (PHD)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:D
Last Name:POHL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2337
Mailing Address - Country:US
Mailing Address - Phone:828-713-4333
Mailing Address - Fax:828-645-9291
Practice Address - Street 1:166 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2337
Practice Address - Country:US
Practice Address - Phone:828-713-4333
Practice Address - Fax:828-645-9291
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1768103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000713Medicaid
NC0411FOtherBCBS
NC0411FOtherBCBS