Organization
HOLLY E. JOHNSON, P.H.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY JOHNSON PHD (PRESIDENT)
(952) 929-7309
Entity
Organization
Contact information
Practice address
4005 W 65TH ST, SUITE 118, EDINA, MN 55435-1720
(952) 929-7309
Mailing address
4005 W 65TH ST, SUITE 118, EDINA, MN 55435-1720
(952) 929-7309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 2466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659363323
NPI INDIVIDUAL NUMBER
MN
Enumeration date
12/14/2007
Last updated
12/14/2007
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