Individual
CYNTHIA TEENER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3405 PENROSE PL STE 203, BOULDER, CO 80301-1820
(720) 617-9800
Mailing address
3313 SENTINEL DR, BOULDER, CO 80301-5451
(303) 810-0307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0004649
CO
Other
Enumeration date
04/25/2018
Last updated
09/11/2019
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