Organization
BRIAN R JOHNSON PHD PSYCHOLOGICAL CORPORATION INC
Active
Other names
Brian R. Johnson, Ph.D. Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RUSSELL JOHNSON PH.D. (PRESIDENT)
(909) 399-0556
Entity
Organization
Contact information
Practice address
250 W. FIRST ST., SUITE 352, CLAREMONT, CA 91711
(909) 399-0556
(909) 624-2137
Mailing address
P.O. BOX 1084, CLAREMONT, CA 91711
(909) 399-0556
(909) 624-2137
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY080060
—
CA
Enumeration date
10/02/2006
Last updated
05/14/2018
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