Johnson, Geordan Legette

Johnson, Geordan Legette is an sole proprietor health care provider with primary practice located at 504 Dudley St , Roxbury MA 02119-2732. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Johnson, Geordan Legette can be contacted via phone (617) 445-6655.

Contact Information

Primary practice address
504 Dudley St Roxbury MA 02119-2732
Phone: (617) 445-6655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X S66991897 Massachusetts

Profile Details

NPI number 1194035774
LBN Legal business name Johnson, Geordan Legette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2010
Last updated Oct 15th, 2010 - about 16 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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