Individual
MEAGAN ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., TLLP
Contact information
Practice address
1202 STACY DR, CANTON, MI 48188-1432
(734) 968-1344
Mailing address
1202 STACY DR, CANTON, MI 48188-1432
(734) 968-1344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014816
MI
Other
Enumeration date
10/12/2011
Last updated
12/06/2012
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