Individual
DR. BRIAN DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., NP
Contact information
Practice address
1836 N MIRA LOMA WAY, PALM SPRINGS, CA 92262-2977
(310) 989-5654
Mailing address
1836 N MIRA LOMA WAY, PALM SPRINGS, CA 92262-2977
(310) 989-5654
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
13975
CA
103TC0700X
Clinical Psychologist
PSY13975
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP22980
CA
Other
Enumeration date
08/05/2006
Last updated
09/17/2025
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