Mytko, Johanna J
Mytko, Johanna J is an sole proprietor health care provider with primary practice located at 205 Avenue I Ste 8, Redondo Beach CA 90277-5619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mytko, Johanna J can be contacted via phone (310) 809-9188.Contact Information
Primary practice address
205 Avenue I Ste 8
Redondo Beach CA 90277-5619
Phone: (310) 809-9188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY20229 | California |
Profile Details
| NPI number | 1831250091 |
|---|---|
| LBN Legal business name | Mytko, Johanna J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Feb 12th, 2016 - about 10 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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