Mawyer, Willis Rae

Mawyer, Willis Rae is an individual health care provider with primary practice located at 47 Humphrey Dr , Syosset NY 11791-4022. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mawyer, Willis Rae can be contacted via phone (516) 921-7171.

Contact Information

Primary practice address
47 Humphrey Dr Syosset NY 11791-4022
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1790097277
LBN Legal business name Mawyer, Willis Rae
Credentials M.S., NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Jul 13th, 2010 - about 14 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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