Individual
AMY SUE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
54 N 9TH ST, SUITE 205, NOBLESVILLE, IN 46060-2236
(317) 587-0567
(317) 574-1230
Mailing address
697 PRO-MED LN, CARMEL, IN 46032-5323
(317) 587-0567
(317) 574-1230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041576A
IN
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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