Individual
DR. PETER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 EMANCIPATION DR, MENTAL HEALTH AND BEHAVIORAL SCIENCES (116A), HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR, MENTAL HEALTH AND BEHAVIORAL SCIENCES (116A), HAMPTON, VA 23667-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004368
VA
Other
Enumeration date
01/26/2011
Last updated
02/16/2011
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