Organization
PATRICIA DIANNE JOHNSON, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DIANNE JOHNSON PH.D. (PRESIDENT)
(602) 957-1471
Entity
Organization
Contact information
Practice address
4202 N 32ND ST, SUITE I, PHOENIX, AZ 85018-4746
(602) 957-1471
(602) 957-1632
Mailing address
4202 N 32ND ST, SUITE I, PHOENIX, AZ 85018-4746
(602) 957-1471
(602) 957-1632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
02/05/2010
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