Individual
DR. RAYNELL CECILIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3060 MITCHELLVILLE RD #212, BOWIE, MD 20716
(301) 218-5492
(301) 218-9514
Mailing address
901 JAMES RIDGE ROAD, BOWIE, MD 20721
(301) 218-4748
(301) 218-4657
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04356
MD
103T00000X
Psychologist
PSY1000321
DC
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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