Individual
DR. CYNTHIA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 448-6440
Mailing address
PO BOX 100165, GAINESVILLE, FL 32610-0165
(352) 273-6617
(352) 273-6156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9377
FL
103T00000X
Psychologist
—
—
174400000X
Specialist
PS006135L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001474520
—
PA
Enumeration date
02/13/2006
Last updated
11/16/2021
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