Individual
DR. RAQUEL L JOHNSON-DEVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2096
(106) 384-7711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019827
PA
103T00000X
Psychologist
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Other
Enumeration date
09/19/2021
Last updated
04/27/2023
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