Individual
JOANNA LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9601 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-7213
(253) 761-7510
Mailing address
23304 50TH AVENUE CT E, SPANAWAY, WA 98387-6042
(480) 326-2093
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003742
WA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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