# DR. JOHNA C HARTNELL

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

## Provider details

- **NPI number:** 1558377796
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0035 | NM | Yes |
| 103T00000X | Psychologist | 1116-57 | WI | — |
| 103T00000X | Psychologist | 1129 | NM | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 07/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000684106 | MEDICARE | WI |
| 05 | — | 39035300 | — | WI |
| 05 | — | 81613 | — | ND |
| 01 | — | HSZI31ZJSB | INDIAN HEALTH SERVICE | ND |