Johnston, Mary Ellen M

Johnston, Mary Ellen M is an sole proprietor health care provider with primary practice located at 23 Kennedy Rd , Port Jefferson Station NY 11776-1809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnston, Mary Ellen M can be contacted via phone (631) 766-5318.

Contact Information

Primary practice address
23 Kennedy Rd Port Jefferson Station NY 11776-1809
Phone: (631) 766-5318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R038676-1 New York

Profile Details

NPI number 1760672075
LBN Legal business name Johnston, Mary Ellen M
Credentials L-RCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2007
Last updated May 22nd, 2013 - about 11 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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