Individual
DR. BONNIE BEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Mailing address
8937 S GARNETT RD, BROKEN ARROW, OK 74012-6004
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
758
OK
Other
Enumeration date
12/06/2006
Last updated
12/06/2007
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