Organization
DONNA JOHNSON, PHD, LP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA JOHNSON PHD, LP (SOLE PRACTITIONER)
(651) 644-4930
Entity
Organization
Contact information
Practice address
1595 SELBY AVE, SUITE 202, SAINT PAUL, MN 55104-6221
(651) 644-4930
(651) 644-1095
Mailing address
1595 SELBY AVE, SUITE 202, SAINT PAUL, MN 55104-6221
(651) 644-4930
(651) 644-1095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3958
MN
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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