Individual
DR. AMANDA JEAN SCHAFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-3985
Mailing address
PO BOX 13811, BELFAST, ME 04915-4029
(906) 225-3630
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301013840
MI
103TC0700X
Clinical Psychologist
Primary
6301013840
MI
103TR0400X
Rehabilitation Psychologist
6301013840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396987871
—
MI
Enumeration date
03/31/2009
Last updated
01/25/2017
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