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Individual

DR. LESLIE MARTIN JOHNSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1001 BISHOP STREET, SUITE 2870, HONOLULU, HI 96813-3482
(808) 538-7793
(808) 538-7799
Mailing address
1001 BISHOP STREET, SUITE 2870, HONOLULU, HI 96813-3482
(808) 538-7793
(808) 538-7799

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 736
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000230755
HMSA QUEST
HI
01
230755
BLUE CROSS/BLUE SHIELD
HI
01
50206401
ALOHACARE (QUEST)
HI
05
50206402
HI
01
611304000
US DEPT. OF LABOR
HI
01
99-0351395
HMAA
HI
01
99-0351398
HMA
HI
Enumeration date
05/18/2006
Last updated
03/29/2014
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