| Lisa D S Johnson, Inc | |
|
780 S 2000 W Ste A105 Syracuse UT 84075-9612 | |
| (385) 423-2377 | |
| (385) 423-2379 |
| Full Name | Lisa D S Johnson, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 780 S 2000 W Ste A105, Syracuse, Utah |
| Authorized Official Name and Position | Lisa D Schultz Johnson (PRESIDENT/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8013882219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa D S Johnson, Inc 189 S State St Ste 189 Clearfield UT 84015-1061 Ph: (385) 423-2377 | Lisa D S Johnson, Inc 780 S 2000 W Ste A105 Syracuse UT 84075-9612 Ph: (385) 423-2377 |
| NPI Number | 1831704287 |
|---|---|
| Provider Enumeration Date | 09/12/2020 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831704287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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