Individual
LISA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1101 MILITARY W, BENICIA, CA 94510-2499
(510) 334-8614
Mailing address
3952 SELMI GRV, RICHMOND, CA 94806-1864
(510) 334-8614
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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