Individual
DR. LYNN DOUGLAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
166 E 5900 S, STE B-108, SALT LAKE CITY, UT 84107-7257
(801) 261-1412
(801) 288-2269
Mailing address
166 E 5900 S, STE B-108, SALT LAKE CITY, UT 84107-7257
(801) 261-1412
(801) 288-2269
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
108316-2501
UT
Other
Enumeration date
07/28/2006
Last updated
04/05/2016
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