| Rebecca S Johnston Phd Llc | |
|
259 Massachusetts Ave Arlington MA 02474-8406 | |
| (617) 924-0268 | |
| Not Available |
| Full Name | Rebecca S Johnston Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 259 Massachusetts Ave, Arlington, Massachusetts |
| Authorized Official Name and Position | Rebecca Sinclair Johnston (OWNER) |
| Authorized Official Contact | 6179240268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca S Johnston Phd Llc 550 Belmont St Apt 36 Watertown MA 02472-4951 Ph: (617) 924-0268 | Rebecca S Johnston Phd Llc 259 Massachusetts Ave Arlington MA 02474-8406 Ph: (617) 924-0268 |
| NPI Number | 1811489115 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Medicare PECOS PAC ID | 1759636483 |
|---|---|
| Medicare Enrollment ID | O20180620001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811489115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821004706 PECOS PAC ID: 0547287484 Enrollment ID: I20101103000206 |
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