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Organization

HEATHER JOHNSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEATHER JOHNSON PHD (PSYCHOLOGIST)
(858) 863-6790
Entity
Organization

Contact information

Practice address
9815 CARROLL CANYON RD, SUITE 101, SAN DIEGO, CA 92131-1123
(858) 863-6790
(267) 417-1530
Mailing address
9815 CARROLL CANYON RD, SUITE 101, SAN DIEGO, CA 92131-1123
(858) 863-6790
(267) 417-1530

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY27023
CA

Other

Enumeration date
01/20/2016
Last updated
10/13/2016
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