Individual
DR. NATHANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
260 WASECA AVE, BARRINGTON, RI 02806-3562
(401) 245-4040
Mailing address
62 WOODBURY ST, PROVIDENCE, RI 02906-3510
(617) 785-4741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01381
RI
Other
Enumeration date
01/13/2012
Last updated
03/25/2025
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