Janice Martin Licensed Clinical Social Worker PC
NPI #1902427941 in Port Jefferson, New York
Provider Information
- NPI Number
- 1902427941
- Entity Type
- Organization
- Organization Name
- Janice Martin Licensed Clinical Social Worker PC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 30, 2020
- Last Updated
- Apr 30, 2020
Practice Location
- Address
- 710 MAIN ST
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2278
- Phone
- (631) 680-7222
Authorized Official
- Name
- JANICE M MARTIN, LCSW
- Title
- PRESIDENT
- Phone
- (631) 680-7222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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