Jung, Yudit

Jung, Yudit is an sole proprietor health care provider with primary practice located at 168 Marshall Ave , Macon GA 31204-2306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jung, Yudit can be contacted via phone (478) 477-9334.

Contact Information

Primary practice address
168 Marshall Ave Macon GA 31204-2306
Fax: (478) 477-9334
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 002829 Georgia

Profile Details

NPI number 1205936804
LBN Legal business name Jung, Yudit
Credentials PH.D., LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205936804 NPPES
Georgia MEDICAID 00902426A

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