Provider Demographics
NPI:1134608334
Name:MAJESKI, JILL ERIN
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:ERIN
Last Name:MAJESKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHILDRENS CIR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1634
Mailing Address - Country:US
Mailing Address - Phone:570-396-0032
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS CIR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1634
Practice Address - Country:US
Practice Address - Phone:570-396-0032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist