Individual
DR. JEREMY T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-1942
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-1942
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
01/14/2026
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