Johnston, Patricia Mary
Johnston, Patricia Mary is an sole proprietor health care provider with primary practice located at 2 Eves Dr Suite 104, Marlton NJ 08053-3193. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnston, Patricia Mary can be contacted via phone (856) 797-8777.Contact Information
Primary practice address
2 Eves Dr Suite 104
Marlton NJ 08053-3193
Phone: (856) 797-8777
Fax: (856) 797-6764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 44SC00034200 | New Jersey |
Profile Details
| NPI number | 1306062617 |
|---|---|
| LBN Legal business name | Johnston, Patricia Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306062617 | NPPES |
| New Jersey | Other | 11672844 | CAQH ID |
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