Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3857 BIRCH ST # 3111, NEWPORT BEACH, CA 92660-2616
(949) 214-4668
Mailing address
3857 BIRCH ST # 3111, NEWPORT BEACH, CA 92660-2616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35927
CA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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