Individual
DR. LESLIE MARTIN JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
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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