Individual
DR. STEVEN H. JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1604 HEWITT AVE, SUITE 615, EVERETT, WA 98201-3595
(425) 252-4543
(425) 252-4578
Mailing address
1604 HEWITT AVE, SUITE 615, EVERETT, WA 98201-3595
(425) 252-4543
(425) 252-4578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60017842
WA
103TF0200X
Forensic Psychologist
PY60017842
WA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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