Individual
DR. MARIE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8046
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8046
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
29577
CA
Other
Enumeration date
06/27/2015
Last updated
01/28/2022
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