Doctor Name: | MS. EDITH BROSS JOHNS |
NPI Number: | 1790072619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | |
Business Practice Address: | 900 Cummings Ctr Ste 408-s Beverly, MA - 019156198 |
Business Phone Number: | 9783959142 |
Business Fax Number: | |
Mailing Address: | Po Box 8355, SALEM |
State: | MA |
Postal Code: | 019718355 |
Phone Number: | 9783959142 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |