Rori Joanna Johnson, PsyD LP
Psychologist in North Branch, MN. Individual provider (NPI-1).
NPI number1861531998
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1861531998
- Entity type
- Individual (NPI-1)
- Name
- Rori Joanna Johnson
- Credential
- PsyD LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LP4478 | MN | Yes |
Practice location
5842 Old Main St Ste 2North Branch, MN 55056-6698
Phone 651-401-3061 · Fax 651-674-2534
Mailing address
5842 Old Main St Ste 2North Branch, MN 55056-6698
Phone 651-401-3061 · Fax 651-674-2534
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