Individual
JENNIFER LYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LLP
Contact information
Practice address
3200 E. EISENHOWER PKWY, EISENHOWER CENTER, ANN ARBOR, MI 48108
(734) 677-0070
(734) 677-0890
Mailing address
3200 E. EISENHOWER PARKWAY, ANN ARBOR, MI 48108
(734) 677-0070
(734) 677-0890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
6301010450
MI
103T00000X
Psychologist
Primary
6301010450
MI
Other
Enumeration date
04/18/2013
Last updated
05/18/2018
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