Courtney E. Johnson, Ph.D. L.L.C.
Psychologist, Clinical in Wichita, KS. Organization (NPI-2).
NPI number1013288596
StatusActive
Last updated in NPPESJan 16, 2012
Details
- NPI
- 1013288596
- Entity type
- Organization (NPI-2)
- Legal business name
- Courtney E. Johnson, Ph.D. L.L.C.
- Organization subpart
- No
- Enumeration date
- Jan 16, 2012
- Last updated
- Jan 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | LP1011 | KS | Yes |
Practice location
8100 E 22nd St NBldg 1, Suite 2
Wichita, KS 67226-2388
Phone 316-337-5432 · Fax 316-337-5481
Mailing address
8100 E 22nd St NBldg 1, Suite 2
Wichita, KS 67226-2388
Phone 316-337-5432 · Fax 316-337-5481
Authorized official
Courtney E Johnson
Psychologist
3163375432
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