Individual
DR. RONALD T JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED. D.
Contact information
Practice address
4000 N LAUSANNE WAY, FLAGSTAFF, AZ 86004-6832
(928) 600-9321
Mailing address
4000 N LAUSANNE WAY, FLAGSTAFF, AZ 86004-6832
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
08/07/2007
Last updated
08/29/2007
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