Individual
DR. JACQUELINE KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
416 N KENDRICK ST, FLAGSTAFF, AZ 86001-1598
(928) 774-9123
Mailing address
PO BOX 1394, FLAGSTAFF, AZ 86002-1394
(928) 774-4313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1104
AZ
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
05/09/2007
Last updated
09/11/2025
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