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Individual

MR. MATTHEW CHRISTIAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3010 MITCHELLVILLE ROAD, SUITE #104, BOWIE, MD 20716
(301) 390-2742
Mailing address
3010 MITCHELLVILLE ROAD, SUITE #104, BOWIE, MD 20716
(301) 390-2742

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PA
103T00000X
Psychologist
05910
MD

Other

Enumeration date
05/07/2009
Last updated
05/26/2017
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