Individual
CATHERINE LEE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4141 ARAPAHOE AVE, SUITE 201, BOULDER, CO 80303-1032
(303) 447-8521
(303) 449-1661
Mailing address
4141 ARAPAHOE AVE, SUITE 201, BOULDER, CO 80303-1032
(303) 447-8521
(303) 449-1661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
990
CO
103TC0700X
Clinical Psychologist
990
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11238541
CAQH ID
CO
01
—
12063269
MULTIPLAN PROVIDER ID
CO
01
—
4270760
AETNA PIN
CO
Enumeration date
01/10/2006
Last updated
03/30/2013
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