Individual
DAVID KEVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 N WIGET LN, WALNUT CREEK, CA 94598-5988
(785) 342-2778
Mailing address
100 N WIGET LN, WALNUT CREEK, CA 94598-5988
(785) 342-2778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356330203
NPI
CA
Enumeration date
09/12/2018
Last updated
09/12/2018
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