Individual
MICHELLE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1800 112TH AVE NE STE 322E, BELLEVUE, WA 98004-2938
(425) 559-0039
(425) 955-8586
Mailing address
PO BOX 94, BELLEVUE, WA 98009-0094
(425) 505-2929
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60456456
WA
Other
Enumeration date
12/02/2009
Last updated
06/18/2025
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