Provider Demographics
NPI:1962702928
Name:ORODENKER, JUDITH E (PHD, ATR)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:E
Last Name:ORODENKER
Suffix:
Gender:F
Credentials:PHD, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 PRAIRIE AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-2333
Mailing Address - Country:US
Mailing Address - Phone:401-339-6343
Mailing Address - Fax:
Practice Address - Street 1:246 PRAIRIE AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-2333
Practice Address - Country:US
Practice Address - Phone:401-339-6343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01209103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical