Waxman, Jill Levey
Waxman, Jill Levey is an individual health care provider with primary practice located at 105 Arnold Mill Rd , Woodstock GA 30188-5027. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waxman, Jill Levey can be contacted via phone (770) 926-0016.Contact Information
Primary practice address
105 Arnold Mill Rd
Woodstock GA 30188-5027
Phone: (770) 926-0016
Fax: (770) 926-0969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002824 | Georgia |
Profile Details
| NPI number | 1578513404 |
|---|---|
| LBN Legal business name | Waxman, Jill Levey |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 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 | 1578513404 | NPPES |
| Georgia | MEDICAID | 893674432A |
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