Jennifer Ellyn Johnson, PH.D.

NPI #1528116241 in Cranston, Rhode Island

Provider Information

NPI Number: 1528116241
Entity Type: Individual
Name: Jennifer Ellyn Johnson, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 935 PARK AVE
Address 2: #206
City: Cranston
State: Rhode Island
ZIP Code: 02910-2722
Phone: (401) 439-2580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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