| Judith Glickman Zevin, Psy.d., Marriage And Family Therapy, Inc. | |
|
1151 Dove St Ste 278 Newport Beach CA 92660-2840 | |
| (949) 651-6054 | |
| Not Available |
| Full Name | Judith Glickman Zevin, Psy.d., Marriage And Family Therapy, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1151 Dove St, Newport Beach, California |
| Authorized Official Name and Position | Judith Glickman Zevin (DIRECTOR/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9496516054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Glickman Zevin, Psy.d., Marriage And Family Therapy, Inc. 1151 Dove St Ste 278 Newport Beach CA 92660-2840 Ph: (949) 651-6054 | Judith Glickman Zevin, Psy.d., Marriage And Family Therapy, Inc. 1151 Dove St Ste 278 Newport Beach CA 92660-2840 Ph: (949) 651-6054 |
| NPI Number | 1124348065 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 06/02/2010 |
| Medicare PECOS PAC ID | 2264562735 |
|---|---|
| Medicare Enrollment ID | O20100609000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124348065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS12553 (California) | Primary |
| Provider Name | Judith G Zevin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538162904 PECOS PAC ID: 0941345250 Enrollment ID: I20100310000810 |
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