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Individual

HEATHER JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3333 BURNET AVENUE, ML 4002, CINCINNATI, OH 45229-3039
(513) 636-4611
(513) 636-3800
Mailing address
3333 BURNET AVENUE, ML 4002, CINCINNATI, OH 45229-3039
(513) 636-4611
(513) 636-3800

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6475
OH

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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