Provider Demographics
NPI:1346656865
Name:OXMAN, MOLLY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:
Last Name:OXMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:ZALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1000 W ADAMS ST
Mailing Address - Street 2:APARTMENT 408
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2926
Mailing Address - Country:US
Mailing Address - Phone:214-402-0261
Mailing Address - Fax:
Practice Address - Street 1:1000 W ADAMS ST
Practice Address - Street 2:APARTMENT 408
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2926
Practice Address - Country:US
Practice Address - Phone:214-402-0261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008831103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical