Individual
DR. DOUGLAS CHRISTIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8939 VILLA LA JOLLA DR, SUITE #230, LA JOLLA, CA 92037-1732
(858) 999-4287
Mailing address
8939 VILLA LA JOLLA DR, SUITE #230, LA JOLLA, CA 92037-1732
(858) 999-4287
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY21975
CA
103TC0700X
Clinical Psychologist
PSY21975
CA
103TF0200X
Forensic Psychologist
PSY21975
CA
Other
Enumeration date
06/20/2007
Last updated
02/06/2013
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