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Individual

KAREN R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY D

Contact information

Practice address
2200 LAKESHORE DRIVE, SUITE 150, BIRMINGHAM, AL 35209
(205) 871-6926
(205) 871-7981
Mailing address
2200 LAKESHORE DRIVE, SUITE 150, BIRMINGHAM, AL 35209
(205) 871-6926
(205) 871-7981

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
486
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051031886
BCBS OF AL
AL
Enumeration date
05/10/2006
Last updated
11/29/2010
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