Individual
LEIGH GOSSICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
77 NEALY AVENUE, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2033
(757) 764-6840
(757) 764-9597
Mailing address
77 NEALY AVENUE, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2033
(757) 764-6840
(757) 764-9597
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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