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Individual

DR. KIMBERLY DYANNE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
16 BALDWIN CIR, GLENMOORE, PA 19343-1136
(267) 463-0523
Mailing address
16 BALDWIN CIR, GLENMOORE, PA 19343-1136
(267) 463-0523

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018166
PA
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
PS018166
PA
103TF0200X
Forensic Psychologist
PS018166
PA

Other

Enumeration date
07/29/2019
Last updated
04/16/2026
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