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
Phone: (478) 477-9334
Fax: (478) 477-9334
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205936804 | NPPES |
Georgia | MEDICAID | 00902426A |
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