Individual
JOHANNA ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5555
CO
103T00000X
Psychologist
PS017054
PA
103T00000X
Psychologist
PS107054
PA
Other
Enumeration date
12/12/2013
Last updated
01/16/2025
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