Individual
KATRINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713
(608) 443-5480
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3586-57
WI
1041C0700X
Clinical Social Worker
3586-57
WI
Other
Enumeration date
08/20/2018
Last updated
01/19/2021
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