Audrea Youngman Johnson BA

NPI 1417249178 - Psychologist - 103T00000X

NPI Details
NPI 1417249178
Gender Female
Enumeration Date 05/12/2011
Last Updated 05/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
401 QUARRY ROAD
STANFORD CA, 94305, US
Phone (650) 326-5530
Fax
Business Location
7601 BLOSSOM LN
FRISCO TX, 75034-5473, US
Phone (770) 403-9851
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Mrs. Audrea Youngman Johnson BA NPI is 1417249178, taxonomy code is 103T00000X Audrea Youngman Johnson BA physically located at 401 Quarry Road, Stanford CA, 94305. NPI Number Audrea Youngman Johnson BA has the Individual type.

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1417249178 NPI number is provided on an as is basis without warranty of any kind. 1417249178 is maintained by the National Plan & Provider Enumeration System. The contents of Audrea Youngman Johnson BA are for informational purposes only.