Provider Demographics
NPI:1063222750
Name:JOHNSTON, BENJAMIN (MT-BC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VETERANS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-4400
Mailing Address - Country:US
Mailing Address - Phone:412-206-9118
Mailing Address - Fax:844-909-0043
Practice Address - Street 1:1 VETERANS WAY STE 200
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-4400
Practice Address - Country:US
Practice Address - Phone:412-206-9118
Practice Address - Fax:844-909-0043
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist