Individual
MR. ROSS J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 W GLENDALE AVE, GLENDALE, AZ 85301
(623) 435-6200
Mailing address
6216 W GLENDALE AVE, GLENDALE HIGH SCHOOL, GLENDALE, AZ 85301
(623) 435-6200
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622614
—
AZ
Enumeration date
05/11/2007
Last updated
07/26/2007
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