Individual
DR. KIMBERLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
1 DUNSTER DR, HANOVER, NH 03755-2701
(206) 715-6784
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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