Amanda Johnson

NPI #1831527092 in Maysville, Kentucky

Provider Information

NPI Number: 1831527092
Entity Type: Individual
Name: Amanda Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 25, 2013
Last Updated: Dec 18, 2013

Practice Location

Address: 611 FOREST AVE
City: Maysville
State: Kentucky
ZIP Code: 41056-1411
Phone: (606) 564-4016

Specialties & Taxonomy Codes

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

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