Individual
LISA J. JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4211 N BUFFALO RD, SUITE 18, ORCHARD PARK, NY 14127-2401
(716) 805-0081
Mailing address
905 DAVIS RD, EAST AURORA, NY 14052-9752
(716) 805-0081
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014542
NY
Other
Enumeration date
07/18/2007
Last updated
05/29/2009
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