Potter, Jayne

Potter, Jayne is an individual health care provider with primary practice located at 366 Jericho Tpke , Mineola NY 11501-1612. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Potter, Jayne can be contacted via phone (516) 742-4015.

Contact Information

Primary practice address

366 Jericho Tpke Mineola NY 11501-1612

Phone: (516) 742-4015

Fax: (516) 742-4620

Website:

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Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	1041C0700X	R029604-1	New York

Profile Details

NPI number	1700066305
LBN Legal business name	Potter, Jayne
Credentials	Licensed Clinical Social Worker (LCSW)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Nov 12th, 2007
Last updated	Nov 12th, 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.

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