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Individual

DR. DOUGLAS JOHNSON-GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1120 NW 14TH ST, CLINICAL RESEARCH BUILDING, SUITE 954, MIAMI, FL 33136-2107
(305) 243-8472
(305) 243-4650
Mailing address
1120 NW 14TH ST, CLINICAL RESEARCH BUILDING, SUITE 954, MIAMI, FL 33136-2107
(305) 243-8472
(305) 243-4650

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7850
FL
103TC0700X
Clinical Psychologist
7850
FL
103TR0400X
Rehabilitation Psychologist
7850
FL

Other

Enumeration date
06/08/2006
Last updated
09/10/2010
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