Individual
MS. CHRISTA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 688-3672
Mailing address
1209 PARK ST STE 301B, PASO ROBLES, CA 93446-7251
(805) 591-4146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28259
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/17/2008
Last updated
07/25/2024
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