Individual
ANGELINA MARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906-3504
(719) 598-3585
Mailing address
1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906-3504
(719) 598-3585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004555
CO
103TC0700X
Clinical Psychologist
T-LP 2182
KS
Other
Enumeration date
11/25/2013
Last updated
11/15/2022
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