Individual
ELIZABETH A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
(623) 445-5079
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
(623) 445-5079
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4164014
AZ
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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