# DR. JEREMY JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528374329
- **Gender:** Man
- **Credential:** PSY. D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 1741 | AL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1741 | AL | Yes |

## Other

- **Enumeration date:** 08/31/2010
- **Last updated:** 03/14/2012