Individual
HOLLY ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4005 W 65TH ST, SUITE 118, EDINA, MN 55435-1720
(952) 929-7309
(952) 929-7365
Mailing address
4005 W 65TH ST, SUITE 118, EDINA, MN 55435-1720
(952) 929-7309
(952) 929-7365
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2466
MN
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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