Individual
DR. DANIEL PETER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16 BLOSSOM ST, MGH WEST END CLINIC, BOSTON, MA 02114-3104
(617) 724-9321
Mailing address
16 BLOSSOM ST, MGH WEST END CLINIC, BOSTON, MA 02114-3104
(617) 724-9321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10425
MA
Other
Enumeration date
06/27/2016
Last updated
11/04/2016
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