DR. Jan Gary Johnson, PH.D.
NPI #1730285008 in Longview, Washington
Provider Information
- NPI Number
- 1730285008
- Entity Type
- Individual
- Name
- DR. Jan Gary Johnson, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 945 11TH AVE
- Address 2
- SUITE B
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2555
- Phone
- (360) 414-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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