West, Jill Mary

West, Jill Mary is an individual health care provider with primary practice located at 2222 Welborn St , Dallas TX 75219-3924. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. West, Jill Mary can be contacted via phone (214) 559-5000.

Contact Information

Primary practice address
2222 Welborn St Dallas TX 75219-3924
Phone: (214) 559-5000
Fax: (214) 443-7309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1282 Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1282 Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 39494 Texas

Profile Details

NPI number 1285035816
LBN Legal business name West, Jill Mary
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2014
Last updated Sep 14th, 2022 - about 3 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 1285035816 NPPES
Mississippi MEDICAID 05529882
Mississippi MEDICAID 2384902

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