Individual
DR. CAROL A. JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11111 HALL RD STE 201, UTICA, MI 48317-5799
(586) 254-2994
(586) 791-0419
Mailing address
35182 JEFFERSON AVE, HARRISON TWP, MI 48045-3245
(586) 254-2994
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301008454
MI
103TC0700X
Clinical Psychologist
Primary
6301008454
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301008454
MI
Other
Enumeration date
03/08/2007
Last updated
05/31/2012
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