Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
8301 US HIGHWAY 521, SALTERS, SC 29590-3705
(843) 387-9656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4453
NC
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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