Robertson, Mary
Robertson, Mary is an individual health care provider with primary practice located at 1040 Longfield Ct , Montgomery AL 36117-8055. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Robertson, Mary can be contacted via phone (334) 288-9009.Contact Information
Primary practice address
1040 Longfield Ct
Montgomery AL 36117-8055
Phone: (334) 288-9009
Fax: (334) 288-9497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1603C | Alabama |
Profile Details
| NPI number | 1396790473 |
|---|---|
| LBN Legal business name | Robertson, Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Feb 12th, 2013 - about 11 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 | 1396790473 | NPPES |
| Alabama | Other | 515 38765 | BLUE CROSS |
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