Organization
EMERALD PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY L JOHNSON PHD (OWNER/PSYCHOLOGIST)
(605) 362-2617
Entity
Organization
Contact information
Practice address
5032 S BUR OAK PL, STE. 120, SIOUX FALLS, SD 57108-2243
(605) 362-2617
(605) 362-2654
Mailing address
5032 S BUR OAK PL, STE. 120, SIOUX FALLS, SD 57108-2243
(605) 362-2617
(605) 362-2654
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
SD
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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