Individual
DR. GARY M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2311 W 17TH ST, WILMINGTON, DE 19806-1330
(302) 521-7995
(302) 351-8706
Mailing address
2311 W 17TH ST, WILMINGTON, DE 19806-1330
(302) 521-7995
(302) 351-8706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B-10000132
DE
Other
Enumeration date
09/27/2006
Last updated
09/08/2016
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