Individual
DR. ROBERT B. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1800 S WEST TEMPLE # A110, SALT LAKE CITY, UT 84115-1851
(801) 949-9554
Mailing address
3434 BROOK VIEW LN, SALT LAKE CITY, UT 84106-1592
(801) 949-9554
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1072762501
UT
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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