Individual
DR. STEPHANIE B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9097 ATLEE STATION RD, SUITE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829
(804) 730-2829
Mailing address
9097 ATLEE STATION RD, SUITE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003573
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185249
ANTHEM BCBS
VA
Enumeration date
09/25/2006
Last updated
07/08/2007
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