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Individual

BRIANNA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 STADIUM MALL DRIVE, PURDUE UNIVERSITY STUDENT HEALTH CENTER, 2ND FLOOR, WEST LAFAYETTE, IN 47907
(765) 494-6995
Mailing address
601 STADIUM MALL DRIVE, PURDUE UNIVERSITY STUDENT HEALTH CENTER, 2ND FLOOR, WEST LAFAYETTE, IN 47907

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043078A
IN

Other

Enumeration date
01/24/2018
Last updated
01/24/2018
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