Individual
DR. DEBORAH HAZEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10715 CHARTER DR STE 270, COLUMBIA, MD 21044-2871
(410) 997-8191
(301) 384-7415
Mailing address
13709 CASTLE CLIFF WAY, SILVER SPRING, MD 20904-5473
(301) 384-3661
(301) 384-7415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1285
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492287
MEDICARE PTAN
MD
Enumeration date
06/26/2007
Last updated
01/28/2009
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