Provider Demographics
NPI:1487029179
Name:OJUKWU, UCHE JUDITH (EEC CERTIFICATION)
Entity type:Individual
Prefix:
First Name:UCHE
Middle Name:JUDITH
Last Name:OJUKWU
Suffix:
Gender:F
Credentials:EEC CERTIFICATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772
Mailing Address - Country:US
Mailing Address - Phone:508-481-1015
Mailing Address - Fax:508-485-3421
Practice Address - Street 1:33 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772
Practice Address - Country:US
Practice Address - Phone:508-481-1015
Practice Address - Fax:508-485-3421
Is Sole Proprietor?:No
Enumeration Date:2015-12-06
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist