DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JILL LEVEY WAXMAN PHD

MEDICARE: JILL LEVEY WAXMAN PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY002824GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578513404
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL LEVEY WAXMAN PHD
Provider Business Mailing Address
First Line : 1540 HEATH LN
Second Line :
City : MARIETTA
State : GA
Zip : 30062-5901
Country : US
Telephone Number : 770-833-0885
Fax Number : 770-565-7522
Provider Business Practice Location Address
First Line : 105 ARNOLD MILL RD
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-5027
Country : US
Telephone Number : 770-926-0016
Fax Number : 770-926-0969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1295574473 — WOODSTOCK CENTER FOR NURSING AND HEALING LLC
Practice Location Address:
105 ARNOLD MILL RD
WOODSTOCK, GA
30188-5027
Practice Phone: 770-926-0016
Practice Fax:
1588660682 — CHC -WOODSTOCK NURSING & REHAB CENTER, LLC
Practice Location Address:
105 ARNOLD MILL RD
WOODSTOCK, GA
30188-5027
Practice Phone: 770-926-0016
Practice Fax: 977-092-6096
1114083839 — DEVELABILITIES, LLC
Practice Location Address:
105 ARNOLD MILL RD
WOODSTOCK, GA
30188-5027
Practice Phone: 770-926-0016
Practice Fax:
1801035811 — OYERONKE IDOWU OYEDEJI PT
Practice Location Address:
105 ARNOLD MILL RD
WOODSTOCK, GA
30188-5027
Practice Phone: 770-926-0016
Practice Fax:
1942621917 — WOODSTOCK CYPRESS LLC
Practice Location Address:
105 ARNOLD MILL RD
WOODSTOCK, GA
30188-5027
Practice Phone: 770-926-0016
Practice Fax:
1982165973 — GWYN MORGAN WATSON
Practice Location Address:
105 ARNOLD MILL RD
WOODSTOCK, GA
30188-5027
Practice Phone: 770-926-0015
Practice Fax:

Directions to “ JILL LEVEY WAXMAN PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.