Individual
TAMMY TERRELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
7765 LEEDS ST, DOWNEY, CA 90242-3489
(562) 674-1714
Mailing address
7765 LEEDS ST, DOWNEY, CA 90242-3489
(562) 674-1714
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT33044
CA
Other
Enumeration date
01/28/2014
Last updated
12/01/2024
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