Individual
DR. SUMMER DANIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(636) 332-6000
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2007024935
MO
Other
Enumeration date
08/20/2007
Last updated
05/07/2018
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