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Individual

ELIZABETH A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
612 W CUCHARRAS ST, COLORADO SPRINGS, CO 80905-1616
(719) 632-7474
Mailing address
4860 ROBB ST, STE 201, WHEAT RIDGE, CO 80033-2162
(303) 278-7418
(888) 341-5050

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0002384
CO
103TC0700X
Clinical Psychologist
397
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118779100
WY
Enumeration date
02/20/2007
Last updated
07/21/2022
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