Individual
SCOTT JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 N 400 E, G2, AMERICAN FORK, UT 84003-2182
(801) 830-5186
Mailing address
80 N 400 E, G2, AMERICAN FORK, UT 84003-2182
(801) 830-5186
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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