Individual
DIANE ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 SUPERIOR AVE STE 1300, CLEVELAND, OH 44114-2654
(646) 941-7645
(929) 596-7897
Mailing address
2684 GREEN RD, SHAKER HEIGHTS, OH 44122-2120
(919) 306-0908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003209
VA
103TC0700X
Clinical Psychologist
Primary
6928
OH
Other
Enumeration date
05/13/2006
Last updated
02/24/2026
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