Individual
MS. RACHEL ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2011004618
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495550006
—
MO
Enumeration date
07/07/2009
Last updated
10/10/2022
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