Amanda Victoria Johnson M.A.

NPI 1417261157 - Psychologist - 103TB0200X

NPI Details
NPI 1417261157
Gender Female
Enumeration Date 08/05/2010
Last Updated 08/05/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1901 E 1ST ST
NEWTON KS, 67114-5010, US
Phone (316) 284-6400
Fax
Business Location
8510 E 29TH ST N
APT. # 814
WICHITA KS, 67226-6602, US
Phone (440) 668-7734
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State Kansas
License Number T-LMLP 1357
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According to our database, Ms. Amanda Victoria Johnson M.A. NPI is 1417261157, taxonomy code is 103TB0200X and license number is T-LMLP 1357, license state is located at Kansas. Amanda Victoria Johnson M.A. physically located at 1901 E 1st St, Newton KS, 67114-5010. NPI Number Amanda Victoria Johnson M.A. has the Individual type.

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1417261157 NPI number is provided on an as is basis without warranty of any kind. 1417261157 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Victoria Johnson M.A. are for informational purposes only.