Individual
DR. KRISTINA GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5755 COTTLE RD, BUILDING 4, SAN JOSE, CA 95123-3640
(408) 972-3095
Mailing address
5755 COTTLE RD, BUILDING 4, SAN JOSE, CA 95123-3640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 18871
CA
Other
Enumeration date
12/21/2006
Last updated
01/11/2022
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