Willard Johnson, PHD, LP

NPI #1922211572 in International Falls, Minnesota

Provider Information

NPI Number: 1922211572
Entity Type: Individual
Name: Willard Johnson, PHD, LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD, LP
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1404 HIGHWAY 71
City: International Falls
State: Minnesota
ZIP Code: 56649-2154
Phone: (218) 283-3406

Specialties & Taxonomy Codes

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

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