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Individual
TIYA SHALYSE JOHNSON
Active
Individual
TIYA SHALYSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
130324
OH
2084F0202X
Forensic Psychiatry Physician
48143
KY
2084F0202X
Forensic Psychiatry Physician
ME129560
FL
2084P0800X
Psychiatry Physician
130324
OH
2084P0800X
Psychiatry Physician
48143
KY
2084P0800X
Psychiatry Physician
ME129560
FL
2084P0804X
Child & Adolescent Psychiatry Physician
130324
OH
2084P0804X
Child & Adolescent Psychiatry Physician
48143
KY
2084P0804X
Child & Adolescent Psychiatry Physician
ME129560
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
S7462
TX
Other
Enumeration date
03/20/2012
Last updated
08/17/2020
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