Individual
DR. ALICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2961 SUMMIT ST STE C, OAKLAND, CA 94609-3482
(510) 982-1000
(510) 210-9310
Mailing address
4096 PIEDMONT AVE # 185, OAKLAND, CA 94611-5221
(510) 982-1000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY33151
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
10/30/2015
Last updated
06/06/2022
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