Individual
MS. MARCIA ELENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
G3230 BEECHER RD, SUITE 1, FLINT, MI 48532-3604
(810) 342-5620
Mailing address
401 S BALLENGER HWY, ATTN:MRMC FAMILY MEDICINE RESIDENCY PROGRAM, FLINT, MI 48532-3638
(810) 342-5620
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013972
MI
103TC0700X
Clinical Psychologist
Primary
6301013972
MI
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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