Kozberg, Jill Gurwitz

Kozberg, Jill Gurwitz is an individual health care provider with primary practice located at 13100 Wayzata Blvd Suite 400, Minnetonka MN 55305-1802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kozberg, Jill Gurwitz can be contacted via phone (952) 546-0616.

Contact Information

Primary practice address
13100 Wayzata Blvd Suite 400 Minnetonka MN 55305-1802
Phone: (952) 546-0616
Fax: (952) 593-1778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3372 Minnesota
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP3372 Minnesota

Profile Details

NPI number 1295803765
LBN Legal business name Kozberg, Jill Gurwitz
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1295803765 NPPES
Minnesota Other 8H790KO 4H557GI LP BLUE CROSS BLUE SHIELD

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