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Individual

DEBRA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7501 COLLEGE BLVD., SUITE 250, OVERLAND PARK, KS 66210-1944
(913) 451-8550
(913) 469-5266
Mailing address
7501 COLLEGE BLVD., SUITE 250, OVERLAND PARK, KS 66210-1944
(913) 451-8550
(913) 469-5266

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
902
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23048031
BCBS KC
KS
01
23048031
BCBS KC
MO
Enumeration date
10/14/2006
Last updated
11/05/2008
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