Individual
ARNISE LANELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(863) 494-1242
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6572
FL
103TC0700X
Clinical Psychologist
PY6572
FL
Other
Enumeration date
02/09/2023
Last updated
02/10/2023
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