Organization
ON-SITE PSYCHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY C JOHNSON PSY.D (OWNER)
(469) 825-0414
Entity
Organization
Contact information
Practice address
751 HEBRON PKWY STE 240, LEWISVILLE, TX 75057-5122
(469) 825-0414
(888) 835-2599
Mailing address
751 HEBRON PKWY STE 240, LEWISVILLE, TX 75057-5122
(469) 825-0414
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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