Individual
DR. ANNICE MYNNETTE JOHNSON-JULIAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5235 GLENDON ST, MURRAY, UT 84123-8402
(801) 263-9368
Mailing address
5235 GLENDON ST, MURRAY, UT 84123-8437
(801) 263-9368
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
365139-2501
UT
Other
Enumeration date
03/07/2006
Last updated
08/17/2007
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