Individual
SAMANTHA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
26 EDGEHILL RD, BROOKLINE, MA 02445-7722
(617) 777-1270
Mailing address
166 LINDBERGH AVE, NEEDHAM, MA 02494-1526
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
019290
NY
103TC0700X
Clinical Psychologist
019290
NY
103TC0700X
Clinical Psychologist
Primary
10496
MA
Other
Enumeration date
12/30/2015
Last updated
07/15/2022
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