Johnston, Susan Holyoke
Johnston, Susan Holyoke is an sole proprietor health care provider with primary practice located at 11428 Waterview Cluster , Reston VA 20190-4313. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnston, Susan Holyoke can be contacted via phone (703) 787-8066.Contact Information
Primary practice address
11428 Waterview Cluster
Reston VA 20190-4313
Phone: (703) 787-8066
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000078 | Virginia |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00204 | Maryland |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC300496 | District of Columbia |
Profile Details
NPI number | 1942412960 |
---|---|
LBN Legal business name | Johnston, Susan Holyoke |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 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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