Develabilities | |
8015 Meadowsweet Trce Roswell GA 30076-3362 | |
(770) 833-0885 | |
Not Available |
Full Name | Develabilities |
---|---|
Speciality | Psychologist |
Location | 8015 Meadowsweet Trce, Roswell, Georgia |
Authorized Official Name and Position | Jill Waxman (PRESIDENT) |
Authorized Official Contact | 7708330885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Develabilities 8015 Meadowsweet Trce Roswell GA 30076-3362 Ph: () - | Develabilities 8015 Meadowsweet Trce Roswell GA 30076-3362 Ph: (770) 833-0885 |
NPI Number | 1962176933 |
---|---|
Provider Enumeration Date | 08/04/2021 |
Last Update Date | 08/04/2021 |
Certification Date | 08/04/2021 |
Medicare PECOS PAC ID | 5092103911 |
---|---|
Medicare Enrollment ID | O20211026003363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962176933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Jill Waxman |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1578513404 PECOS PAC ID: 5799738258 Enrollment ID: I20211026003419 |
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