Provider Demographics
NPI:1366649238
Name:MEYERS-ABELL, JUDITH ELYSE (PHD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ELYSE
Last Name:MEYERS-ABELL
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:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-0185
Mailing Address - Country:US
Mailing Address - Phone:909-625-5948
Mailing Address - Fax:
Practice Address - Street 1:853 MIAMI CT
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-2531
Practice Address - Country:US
Practice Address - Phone:909-625-5948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13361103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist