Individual
DR. KIMBERLY E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP, APIT
Contact information
Practice address
10761 CHESAPEAKE DR N, INDIANAPOLIS, IN 46236-8964
(317) 748-4520
(317) 293-1241
Mailing address
10761 CHESAPEAKE DR N, INDIANAPOLIS, IN 46236-8964
(317) 260-8928
(317) 293-1241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042216A
IN
Other
Enumeration date
01/07/2008
Last updated
01/22/2025
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