Individual
DR. JULIA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
920 JOYCE DR, BREA, CA 92821-2217
(714) 293-8627
Mailing address
920 JOYCE DR, BREA, CA 92821-2217
(714) 293-8627
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LEP 2268
CA
103TC1900X
Counseling Psychologist
LEP 2268
CA
103TS0200X
School Psychologist
LEP 2268
CA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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