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Organization
THE LEAD INSTITUTE, INC.
Active
Organization
THE LEAD INSTITUTE, INC.
Active
Other names
Lead Behavorial Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA JOHNSON ED.D (PYSCHOLOGIST)
(559) 221-4948
Entity
Organization
Contact information
Practice address
516 W SHAW AVE, SUITE 200, FRESNO, CA 93704-2515
(559) 221-4948
(559) 221-2660
Mailing address
516 W SHAW AVE, SUITE 200, FRESNO, CA 93704-2515
(559) 221-4948
(559) 221-2660
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY23518
CA
103K00000X
Behavior Analyst
1041645
CA
103T00000X
Psychologist
PSY23518
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY23518
CA
103TA0700X
Adult Development & Aging Psychologist
PSY23518
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23518
CA
103TC0700X
Clinical Psychologist
Primary
PSY23518
CA
103TC1900X
Counseling Psychologist
PSY23518
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY23518
CA
103TF0000X
Family Psychologist
PSY23518
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY23518
CA
103TP2701X
Group Psychotherapy Psychologist
PSY23518
CA
103TS0200X
School Psychologist
PSY23518
CA
1041S0200X
School Social Worker
—
—
2084P0800X
Psychiatry Physician
A76215
CA
Other
Enumeration date
08/03/2010
Last updated
12/06/2010
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