Individual
CAROL L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6465 REFLECTIONS DR, SUITE 110, DUBLIN, OH 43017-2355
(614) 792-1108
(614) 792-0018
Mailing address
2509 SNOUFFER PL, COLUMBUS, OH 43235-2865
(614) 889-2680
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0604966
—
OH
Enumeration date
08/10/2006
Last updated
07/08/2007
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