Individual
SUTHA K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3001 PLYMOUTH RD STE 105, ANN ARBOR, MI 48105-3205
(734) 997-5033
Mailing address
3001 PLYMOUTH RD STE 105, ANN ARBOR, MI 48105-3205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11219
NE
103T00000X
Psychologist
6301018758
MI
103T00000X
Psychologist
—
MI
103TC0700X
Clinical Psychologist
Primary
6301018758
MI
Other
Enumeration date
08/21/2017
Last updated
07/07/2021
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