Emily Johnson, Ph.D.
Psychologist, Clinical in Lake Mary, FL. Individual provider (NPI-1).
NPI number1013288331
StatusActive
Last updated in NPPESJan 18, 2012
Details
- NPI
- 1013288331
- Entity type
- Individual (NPI-1)
- Name
- Emily Johnson
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2012
- Last updated
- Jan 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY8420 | FL | Yes |
Practice location
1540 International PkwySuite 2000
Lake Mary, FL 32746-4713
Phone 407-536-5383 · Fax 407-536-5301
Mailing address
1540 International PkwySuite 2000
Lake Mary, FL 32746-4713
Phone 407-536-5383 · Fax 407-536-5301
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