Individual
CALLI LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
7302 NORTHLAND DR, STANWOOD, MI 49346-8742
(231) 823-4321
Mailing address
PO BOX 338, STANWOOD, MI 49346-0338
(231) 250-0965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007717
MI
103TC0700X
Clinical Psychologist
6361007717
MI
Other
Enumeration date
01/10/2018
Last updated
12/05/2023
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