Individual
DR. STEPHANIE RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1025 THOMAS JEFFERSON ST. NW, SUITE 420 EAST, WASHINGTON, DC 20007
(202) 903-4763
(202) 333-0366
Mailing address
1025 THOMAS JEFFERSON ST. NW, SUITE 420 EAST, WASHINGTON, DC 20007
(202) 903-4763
(202) 333-0366
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
04553
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/22/2009
Last updated
04/28/2023
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