Individual
COURTENEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E 179TH ST, BRONX, NY 10460-2222
(718) 842-0200
Mailing address
1028 E 179TH ST, BRONX, NY 10460-2222
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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