Individual
DR. CARA RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PSY.D.
Contact information
Practice address
809 MEDICAL PARK DR STE 102, MEXICO, MO 65265-3753
(913) 730-0035
(660) 662-2220
Mailing address
PO BOX 203, MEXICO, MO 65265-0203
(913) 730-0035
(660) 662-2220
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2006016141
MO
103TC0700X
Clinical Psychologist
Primary
2006016141
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491638904
—
MO
Enumeration date
09/08/2005
Last updated
04/02/2026
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