Judith S. Nissenbaum, PH.D

NPI #1023025657 in Chicopee, Massachusetts

Provider Information

NPI Number: 1023025657
Entity Type: Individual
Name: Judith S. Nissenbaum, PH.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D
Enumeration Date: Aug 3, 2006
Last Updated: Feb 23, 2012

Practice Location

Address: 1109 GRANBY RD
City: Chicopee
State: Massachusetts
ZIP Code: 01020-1568
Phone: (413) 523-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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