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Individual
DR. PATTI LEE JOHNSON
Active
Individual
DR. PATTI LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL PS
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23520
CA
103TC0700X
Clinical Psychologist
0810003568
VA
Other
Enumeration date
02/07/2007
Last updated
07/14/2010
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