Trexler, Judy Martin
Trexler, Judy Martin is an sole proprietor health care provider with primary practice located at 109 W Jane St , Valdosta GA 31601-3950. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Trexler, Judy Martin can be contacted via phone (229) 671-1461.Contact Information
Primary practice address
109 W Jane St
Valdosta GA 31601-3950
Phone: (229) 671-1461
Fax: (229) 671-1471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1308 | Georgia |
Profile Details
| NPI number | 1568654440 |
|---|---|
| LBN Legal business name | Trexler, Judy Martin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Jan 22nd, 2020 - about 5 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 | 1568654440 | NPPES |
| Georgia | MEDICAID | 003109170C |
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