Individual
DR. DAVID EDWIN JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3601 NW 138TH ST, STE. 201, OKLAHOMA CITY, OK 73134-2513
(405) 755-8576
(405) 755-6026
Mailing address
3601 NW 138TH ST, STE. 201, OKLAHOMA CITY, OK 73134-2513
(405) 755-8576
(405) 755-6026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
538
OK
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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