Resnik, Ellen Jean
Resnik, Ellen Jean is an sole proprietor health care provider with primary practice located at 496 Harvard St , Brookline MA 02446-2435. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Resnik, Ellen Jean can be contacted via phone (617) 739-5939.Contact Information
Primary practice address
496 Harvard St
Brookline MA 02446-2435
Phone: (617) 739-5939
Fax: (617) 734-5375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 369 | Massachusetts |
Profile Details
| NPI number | 1821145129 |
|---|---|
| LBN Legal business name | Resnik, Ellen Jean |
| Credentials | M.A., LMHC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 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 | 1821145129 | NPPES |
| Massachusetts | Other | 347294 | MAGELLAN |
| Massachusetts | Other | 012897 | MAGELLAN |
| Massachusetts | Other | 014602 | MAGELLAN |
| Massachusetts | Other | LM0199 | MAGELLAN |
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