Individual
DR. BEATRICE ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2225 PORTLAND STREET, ST JOHNSBURY, VT 05819-2225
(802) 748-3131
Mailing address
95 JOBS POND ROAD, WEST BURKE, VT 05871
(802) 723-4844
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
151724
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104-0012067
VERMONT MEDICAL LICENSE
VT
Enumeration date
05/22/2007
Last updated
11/17/2011
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