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Individual
MONICA JOHNSON
Active
Individual
MONICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
TN
103TC0700X
Clinical Psychologist
Primary
022145
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04796681
—
NY
Enumeration date
11/04/2011
Last updated
04/11/2024
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