Johnson, Lucille Mary

Johnson, Lucille Mary is an sole proprietor health care provider with primary practice located at 41 Ketewamoke Ave , Babylon NY 11702-1905. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Lucille Mary can be contacted via phone (631) 422-6915.

Contact Information

Primary practice address
41 Ketewamoke Ave Babylon NY 11702-1905
Phone: (631) 422-6915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 005148-1 New York

Profile Details

NPI number 1528101037
LBN Legal business name Johnson, Lucille Mary
Credentials MSCCCSLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 18 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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