| Patricia Dianne Johnson, Ph.d., P.c. | |
|
4202 N 32nd St Suite I Phoenix AZ 85018-4746 | |
| (602) 957-1471 | |
| (602) 957-1632 |
| Full Name | Patricia Dianne Johnson, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4202 N 32nd St, Phoenix, Arizona |
| Authorized Official Name and Position | Patricia Dianne Johnson (PRESIDENT) |
| Authorized Official Contact | 6029571471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Dianne Johnson, Ph.d., P.c. 4202 N 32nd St Suite I Phoenix AZ 85018-4746 Ph: (602) 957-1471 | Patricia Dianne Johnson, Ph.d., P.c. 4202 N 32nd St Suite I Phoenix AZ 85018-4746 Ph: (602) 957-1471 |
| NPI Number | 1154560845 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154560845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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