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:
Health care specialties
| Specialty | Code | License # | 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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