Broughton, Mary Ellen
Broughton, Mary Ellen is an sole proprietor health care provider with primary practice located at 243 Main St Suite 203, New Paltz NY 12561-1325. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Broughton, Mary Ellen can be contacted via phone (845) 255-8323.Contact Information
Primary practice address
243 Main St Suite 203
New Paltz NY 12561-1325
Phone: (845) 255-8323
Fax: (845) 255-5832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R0259181 | New York |
Profile Details
| NPI number | 1013067180 |
|---|---|
| LBN Legal business name | Broughton, Mary Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Aug 16th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013067180 | NPPES |
| New York | Other | GHI 7400885 | GHI |
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