# SANDRA L. JOHNSON, PH.D., INC. P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124230610
- **Authorized official:** DR. SANDRA L JOHNSON PH.D. (PRESIDENT)
- **Authorized official phone:** (206) 322-2012

## Contact information

- **Practice address:** 3245 FAIRVIEW AVE. E. STE. 310, SEATTLE, WA 98102
- **Practice address phone:** (206) 322-2012
- **Practice address fax:** (206) 322-6897
- **Mailing address:** 3245 FAIRVIEW AVE. E. STE. 310, SEATTLE, WA 98102
- **Mailing address phone:** (206) 322-2012
- **Mailing address fax:** (206) 322-6897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00001328 | WA | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020