Individual
DR. BRET KALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
550 WATER ST STE F2, SANTA CRUZ, CA 95060-4131
(831) 426-8901
(408) 868-9060
Mailing address
550 WATER ST STE F2, SANTA CRUZ, CA 95060-4131
(831) 426-8901
(408) 868-9060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10630
CA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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