Waxman, Mindy
Waxman, Mindy is an sole proprietor health care provider with primary practice located at 5860 Rock Dove Ct , Long Grove IL 60047-5062. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waxman, Mindy can be contacted via phone (847) 507-5294.Contact Information
Primary practice address
5860 Rock Dove Ct
Long Grove IL 60047-5062
Phone: (847) 507-5294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009953 | Illinois |
Profile Details
| NPI number | 1891259370 |
|---|---|
| LBN Legal business name | Waxman, Mindy |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2019 |
| Last updated | Jan 29th, 2019 - 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.
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