Individual
DR. ELAINE IRENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, SUITES 209 AND 209A, COLUMBIA, MD 21044-3264
(410) 740-8066
(410) 740-8068
Mailing address
10630 LITTLE PATUXENT PKWY, SUITES 209 AND 209A, COLUMBIA, MD 21044-3264
(410) 740-8066
(410) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03639
MD
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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