Pamela M Johnson, MA LP

NPI #1821178799 in Grand Rapids, Minnesota

Provider Information

NPI Number: 1821178799
Entity Type: Individual
Name: Pamela M Johnson, MA LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: MA LP
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 516 S POKEGAMA AVE
Address 2: SUITE B
City: Grand Rapids
State: Minnesota
ZIP Code: 55744-3800
Phone: (218) 327-9336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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