Donna Johnson, Phd, Lp, Llc

NPI 1003988569 - Psychologist - 103TC0700X

NPI Details
NPI 1003988569
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DONNA DONNA
Position SOLE PRACTITIONER
Phone (651) 644-4930
Fax (651) 644-1095
Practice Location
1595 SELBY AVE
SUITE 202
SAINT PAUL MN, 55104-6221, US
Phone (651) 644-4930
Fax (651) 644-1095
Business Location
1595 SELBY AVE
SUITE 202
SAINT PAUL MN, 55104-6221, US
Phone (651) 644-4930
Fax (651) 644-1095
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number 3958
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According to our database, Donna Johnson, Phd, Lp, Llc NPI is 1003988569, taxonomy code is 103TC0700X and license number is 3958, license state is located at Minnesota. Donna Johnson, Phd, Lp, Llc physically located at 1595 Selby Ave, Saint Paul MN, 55104-6221. NPI Number 1033115704 has the healthcare provider type.

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1003988569 NPI number is provided on an as is basis without warranty of any kind. 1003988569 is maintained by the National Plan & Provider Enumeration System. The contents of Donna Johnson, Phd, Lp, Llc are for informational purposes only.