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Individual
JOHNSON CHANG
Active
Individual
JOHNSON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY19706
CA
103T00000X
Psychologist
Primary
PY00003607
WA
103TF0200X
Forensic Psychologist
PSY
CA
103TP2701X
Group Psychotherapy Psychologist
PSY19706
CA
Other
Enumeration date
07/05/2006
Last updated
04/25/2025
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