Individual
SUSAN JOHANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1064 MAIN ST FL 2, FISHKILL, NY 12524-3600
(845) 896-6751
(845) 227-2524
Mailing address
9 COACHLIGHT DR, POUGHKEEPSIE, NY 12603-4229
(845) 392-3114
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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