# KRISTINE MCIVER JOHNSON PHD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548759277
- **Authorized official:** DR. KRISTINE MCIVER JOHNSON PHD (OWNER)
- **Authorized official phone:** (785) 218-4426

## Contact information

- **Practice address:** 1201 WAKARUSA DR BLDG E, LAWRENCE, KS 66049
- **Practice address phone:** (785) 218-4426
- **Mailing address:** 1105 JANA CT, LAWRENCE, KS 66049-4417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | LP1118 | KS | Yes |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 01/03/2019