Individual
LINDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
GROVE SUMMIT OFFICE PARK, 607 EASTON ROAD, SUITE D-3, WILLOW GROVE, PA 19090
(215) 957-0611
(215) 957-0611
Mailing address
344 LANCASTER AVE, HATBORO, PA 19040-4805
(215) 957-0349
(215) 957-0611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-007880-L
PA
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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