Individual
DR. VELISA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ABPP-CN
Contact information
Practice address
5030 CORPORATE EXCHANGE BLVD SE STE 201, GRAND RAPIDS, MI 49512-5506
(616) 287-4164
Mailing address
5030 CORPORATE EXCHANGE BLVD SE STE 201, GRAND RAPIDS, MI 49512-5506
(616) 287-4164
(616) 419-8412
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
36373
CA
103G00000X
Clinical Neuropsychologist
Primary
6301016552
MI
103G00000X
Clinical Neuropsychologist
PSY-2300-0
HI
103T00000X
Psychologist
—
—
Other
Enumeration date
02/14/2008
Last updated
02/02/2026
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