Individual
DR. RONALD STUART JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
320 YOUNG RD, 71 MDOS/SGOML BUILDING 248, ENID, OK 73705-5506
(580) 213-7419
(580) 213-6423
Mailing address
3702 WILLOW LAKE LN, ENID, OK 73703-1417
(580) 234-8817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
635
NM
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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