# JOHNSON CHANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144251471
- **Gender:** Man
- **Credential:** PSYD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PSY19706 | CA | — |
| 103T00000X | Psychologist | PY00003607 | WA | Yes |
| 103TF0200X | Forensic Psychologist | PSY | CA | — |
| 103TP2701X | Group Psychotherapy Psychologist | PSY19706 | CA | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 04/25/2025