Individual
DR. LEANOR M JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7285 QUILL DR, DOWNEY, CA 90242-2001
(562) 940-6077
Mailing address
7285 QUILL DR, DOWNEY, CA 90242-2001
(562) 940-6077
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23615
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23615
CA
103TC0700X
Clinical Psychologist
PSY23615
CA
103TH0100X
Health Service Psychologist
PSY23615
CA
Other
Enumeration date
08/24/2012
Last updated
08/24/2012
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