Etheridge-Johnson, Brenda

Etheridge-Johnson, Brenda is an individual health care provider with primary practice located at 7221 Avalon Dr , Weymouth MA 02188-4632. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Etheridge-Johnson, Brenda can be contacted via phone (781) 331-6804.

Contact Information

Primary practice address
7221 Avalon Dr Weymouth MA 02188-4632
Phone: (781) 331-6804
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1770629685
LBN Legal business name Etheridge-Johnson, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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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