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Individual

CAROLYN ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
145 EDNAM DR STE 301, CHARLOTTESVILLE, VA 22903-4625
(434) 284-1574
Mailing address
5062 OLD FOX TRAIL CT, CROZET, VA 22932-3142
(434) 284-1574

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003775
VA

Other

Enumeration date
06/14/2018
Last updated
05/13/2022
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