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Contact Information

SUSAN JOHANNSEN, PSYD
15418 MAINT STREET
SUITE 303A
MILL CREEK, WA98012
 Phone: 425-339-5453
 Fax: 425-252-4441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN JOHANNSEN · (Female)

NPI Number 1063026417
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 09/02/2020
Last updated 02/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PY61085331
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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