Individual
YCHITA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20711 WATERTOWN RD, WAUKESHA, WI 53186-1881
(414) 885-0443
Mailing address
20711 WATERTOWN RD, WAUKESHA, WI 53186-1881
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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