Individual
MARK V.F. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Mailing address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017347-1
NY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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