Individual
MARCIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1447 YORK RD STE 701, LUTHERVILLE, MD 21093-6089
(443) 914-3319
Mailing address
6 WINDSONG CT, PIKESVILLE, MD 21208-1929
(443) 858-0905
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06895
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2022
Last updated
03/13/2023
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