Individual
JERROD K. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1881 N UNIVERSITY DR STE 104, CORAL SPRINGS, FL 33071-6093
(954) 340-0888
(954) 346-0909
Mailing address
1881 N UNIVERSITY DR STE 104, CORAL SPRINGS, FL 33071-6093
(954) 340-0888
(954) 954-3460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY003599
GA
103TC0700X
Clinical Psychologist
Primary
PY8744
FL
Other
Enumeration date
11/19/2012
Last updated
03/17/2018
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