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Individual

DR. SHANNON HUDSON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5151 REED RD, BUILDING C SUITE 128 CENTRAL OHIO BEHAVIORAL MEDICINE I, COLUMBUS, OH 43220
(614) 538-8300
(614) 538-1656
Mailing address
1926 ELMWOOD AVE, COLUMBUS, OH 43212
(614) 481-3432
(614) 538-1656

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
OHIOPSYCHOLOGIST5986
OH

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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