Individual
DIONE NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24 MEDLEY LN, WILLINGBORO, NJ 08046-3123
(240) 625-7674
Mailing address
24 MEDLEY LN, WILLINGBORO, NJ 08046-3123
(240) 625-7674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00519OOO
NJ
103TC0700X
Clinical Psychologist
PS017364
PA
106H00000X
Marriage & Family Therapist
52387
CA
Other
Enumeration date
01/31/2007
Last updated
05/24/2023
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