Nicole Rebecca Liu Johnson, PSYD

NPI #1083133490 in Lynnwood, Washington

Provider Information

NPI Number: 1083133490
Entity Type: Individual
Name: Nicole Rebecca Liu Johnson, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Sep 18, 2017
Last Updated: Sep 18, 2017

Practice Location

Address: 20826 2ND AVE W
City: Lynnwood
State: Washington
ZIP Code: 98036-7256
Phone: (925) 548-2863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Forensic — Forensic	103TF0200X
Psychologist	103T00000X	Primary

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