Individual
ROBIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 SCHOOL ST, CLARKSDALE, MS 38614-3721
(662) 351-4668
Mailing address
905 SCHOOL ST, CLARKSDALE, MS 38614-3721
(662) 351-4668
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1312561
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621610
—
MS
Enumeration date
12/17/2021
Last updated
12/17/2021
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