Individual
MICHAEL GIBBS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
753 N 35TH ST, #306, SEATTLE, WA 98103-8870
(206) 545-3516
(206) 523-4170
Mailing address
753 N 35TH ST, #306, SEATTLE, WA 98103-8870
(206) 545-3516
(206) 523-4170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1474
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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