Individual
DR. CHARLIE WILL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5000 14TH ST NW, WASHINGTON, DC 20011-6926
(202) 722-5555
Mailing address
5000 14TH ST NW, WASHINGTON, DC 20011-6926
(202) 722-5555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2900
MD
Other
Enumeration date
07/12/2007
Last updated
04/19/2016
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