Individual
DR. NORAH ALICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
706 TEBBETTS AVENUE, BELLE, MO 65013
(573) 859-3744
Mailing address
706 TEBBETTS AVENUE, PO BOX 326, BELLE, MO 65013
(573) 859-3744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0500
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493831242
—
MO
Enumeration date
07/28/2005
Last updated
07/27/2009
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