Individual
DR. SUZANNE BENNETT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 WEST CALL STREET, COLLEGE OF MEDICINE FLORIDA STATE UNIVERSITY, TALLAHASSEE, FL 32306-4300
(850) 644-3457
(850) 645-1773
Mailing address
1115 WEST CALL STREET, DEPARTMENT OF MEDICAL HUMANITIES AND SOCIAL SERVICES FS, TALLAHASSEE, FL 32306-4300
(850) 644-3457
(850) 645-1773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2320
FL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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