Johnson, Jackie

Johnson, Jackie is an individual health care provider with primary practice located at 111 South St. , Somerville MA 02143. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Johnson, Jackie can be contacted via phone (617) 284-5130.

Contact Information

Primary practice address
111 South St. Somerville MA 02143
Phone: (617) 284-5130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1407166119
LBN Legal business name Johnson, Jackie
Credentials PSYCHOLOGY INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Oct 15th, 2010 - about 14 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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