Individual
KASSY AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
Mailing address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1697
KS
Other
Enumeration date
08/05/2007
Last updated
06/16/2008
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