Individual
MR. AUSTIN MICAIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
180 N OAKLAND AVE, PASADENA, CA 91101-1714
(626) 584-5555
Mailing address
4401 6TH ST STE A, LUBBOCK, TX 79416-4700
(806) 793-7491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38553
TX
Other
Enumeration date
09/01/2016
Last updated
03/02/2021
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