Johnson, Susan T
Johnson, Susan T is an individual health care provider with primary practice located at 61 Goldencrest Ave , Waltham MA 02451-1318. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Susan T can be contacted via phone (617) 803-5750.Contact Information
Primary practice address
61 Goldencrest Ave
Waltham MA 02451-1318
Phone: (617) 803-5750
Fax: (781) 290-0130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 103125 | Massachusetts |
Profile Details
NPI number | 1952379331 |
---|---|
LBN Legal business name | Johnson, Susan T |
Credentials | MS LICSW BCD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2006 |
Last updated | Sep 19th, 2011 - about 13 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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