Peck, Mary Ellen

Peck, Mary Ellen is an individual health care provider with primary practice located at 260 Montauk Hwy, Suite 8 , Bay Shore NY 11706. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Peck, Mary Ellen can be contacted via phone (631) 647-9009.

Contact Information

Primary practice address
260 Montauk Hwy, Suite 8 Bay Shore NY 11706
Phone: (631) 647-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 044226-1 New York

Profile Details

NPI number 1497040406
LBN Legal business name Peck, Mary Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2011
Last updated Jun 17th, 2011 - about 15 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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