DR. Beth A Johnson, PSY.D.

NPI #1811925613 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1811925613
Entity Type: Individual
Name: DR. Beth A Johnson, PSY.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Jun 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 161 W WISCONSIN AVE
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-3467
Phone: (262) 695-8857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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