Individual
DR. LAURA ECKLER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9884
Mailing address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7934
FL
103TC0700X
Clinical Psychologist
PY7934
FL
Other
Enumeration date
08/11/2009
Last updated
11/28/2023
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