Individual
ABIGAIL RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
325 EAST EISENHOWER, SUITE 300, ANN ARBOR, MI 48108-5744
(734) 936-7052
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301015594
MI
103T00000X
Psychologist
6301015594
MI
103T00000X
Psychologist
6817
OH
103TC0700X
Clinical Psychologist
Primary
6301015594
MI
Other
Enumeration date
09/12/2011
Last updated
06/17/2019
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