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Individual

DR. DONNA JOHNSON

Active
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Individual

DR. DONNA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LP

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3958
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1016381
P1
MN
01
122753
UC
MN
01
134814
CP
MN
01
26291
HP
MN
05
292827200
MN
01
41Q23JO
BCBS
MN
01
61-53007
UBH
FM
Enumeration date
07/27/2006
Last updated
10/09/2017
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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