Individual
DR. NICHOLAS BEECHING JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
162 WALNUT STREET, BROOKLINE, MA 02445-6710
(617) 232-7151
(617) 738-0977
Mailing address
162 WALNUT STREET, BROOKLINE, MA 02445-6710
(617) 232-7151
(617) 738-0977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1544
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0509426
—
MA
Enumeration date
03/19/2007
Last updated
07/08/2007
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