MRS. Ellie I Johnson, PSYD
NPI #1598087967 in Represa, California
Provider Information
- NPI Number
- 1598087967
- Entity Type
- Individual
- Name
- MRS. Ellie I Johnson, PSYD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- Feb 25, 2010
- Last Updated
- Apr 19, 2013
Practice Location
- Address
- 300 PRISON RD
- City
- Represa
- State
- California
- ZIP Code
- 95671-0002
- Phone
- (916) 985-8610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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