Organization
KRISTINE MCIVER JOHNSON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE MCIVER JOHNSON PHD (OWNER)
(785) 218-4426
Entity
Organization
Contact information
Practice address
1201 WAKARUSA DR BLDG E, LAWRENCE, KS 66049
(785) 218-4426
Mailing address
1105 JANA CT, LAWRENCE, KS 66049-4417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1118
KS
Other
Enumeration date
05/08/2018
Last updated
01/03/2019
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