Provider Demographics
NPI:1861675639
Name:MILLMAN, TEMMY GOLDWASSER (MA LMFT)
Entity Type:Individual
Prefix:
First Name:TEMMY
Middle Name:GOLDWASSER
Last Name:MILLMAN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:TEMMY
Other - Middle Name:
Other - Last Name:MILLMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:233 E ERIE ST
Mailing Address - Street 2:STE. 411
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2926
Mailing Address - Country:US
Mailing Address - Phone:312-255-9322
Mailing Address - Fax:
Practice Address - Street 1:233 E ERIE ST
Practice Address - Street 2:STE. 411
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2926
Practice Address - Country:US
Practice Address - Phone:312-255-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health