Individual
DR. JEANINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5060 SHOREHAM PL, SAN DIEGO, CA 92122-5903
(877) 840-6956
(619) 383-6701
Mailing address
PO BOX 601422, SAN DIEGO, CA 92160-1422
(877) 840-6956
(619) 383-6701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
29523
CA
Other
Enumeration date
09/18/2014
Last updated
11/03/2025
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