Individual
COURTNEY BETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2680 E MAIN ST STE 114, PLAINFIELD, IN 46168-2827
(317) 426-8055
(317) 900-1900
Mailing address
5995 S COUNTY ROAD 700 E, PLAINFIELD, IN 46168-9062
(317) 426-8055
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042744A
IN
103TC0700X
Clinical Psychologist
20042744A
IN
Other
Enumeration date
07/05/2013
Last updated
09/09/2020
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