Individual
EMILY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL 32746-4713
(407) 536-5383
(407) 536-5301
Mailing address
1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL 32746-4713
(407) 536-5383
(407) 536-5301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8420
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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