Zevin, Judith Glickman

Zevin, Judith Glickman is an individual health care provider with primary practice located at 1151 Dove St Ste 278, Newport Beach CA 92660-2840. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Zevin, Judith Glickman can be contacted via phone (949) 887-1897.

Contact Information

Primary practice address
1151 Dove St Ste 278 Newport Beach CA 92660-2840
Phone: (949) 887-1897
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS12553 California

Profile Details

NPI number 1538162904
LBN Legal business name Zevin, Judith Glickman
Credentials LCSW, PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 7th, 2014 - about 12 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 1538162904 NPPES
California MEDICAID CSW125530

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