Individual
LAWANDA FORD-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1201 HAYS ST, TALLAHASSEE, FL 32301-2699
(800) 370-3651
(877) 515-7147
Mailing address
8606 BANEBERRY CT, TAMPA, FL 33647-3006
(813) 391-9741
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY9265
FL
103TC0700X
Clinical Psychologist
Primary
PY9265
FL
Other
Enumeration date
12/19/2012
Last updated
07/29/2019
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