Individual
DR. KIMBERLY C. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
751 HEBRON PKWY, SUITE 305D, LEWISVILLE, TX 75057-5055
(469) 549-4200
(469) 549-4201
Mailing address
751 HEBRON PKWY, SUITE 305D, LEWISVILLE, TX 75057-5055
(469) 549-4200
(469) 549-4201
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32578
TX
103T00000X
Psychologist
32578
TX
103TS0200X
School Psychologist
32698
TX
Other
Enumeration date
09/20/2006
Last updated
05/17/2016
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