Individual
DR. CAROLYN H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1630 DONNA DRIVE, SUITE 102, VIRGINIA BEACH, VA 23451-6188
(757) 425-5050
(757) 425-1389
Mailing address
1630 DONNA DRIVE, SUITE 102, VIRGINIA BEACH, VA 23451-6188
(757) 425-5050
(757) 425-1389
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001859
VA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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