| Donna Johnson, Phd, Lp, Llc | |
|
1595 Selby Ave Suite 202 Saint Paul MN 55104-6221 | |
| (651) 644-4930 | |
| (651) 644-1095 |
| Full Name | Donna Johnson, Phd, Lp, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1595 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Donna Johnson (SOLE PRACTITIONER) |
| Authorized Official Contact | 6516444930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Johnson, Phd, Lp, Llc 1595 Selby Ave Suite 202 Saint Paul MN 55104-6221 Ph: (651) 644-4930 | Donna Johnson, Phd, Lp, Llc 1595 Selby Ave Suite 202 Saint Paul MN 55104-6221 Ph: (651) 644-4930 |
| NPI Number | 1003988569 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003988569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3958 (Minnesota) | Primary |
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