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Contact Information

SHANAUTICA JOHNSON
235 FLORIDA AVE APT 81
GREENWOOD, SC29646-4446
 Phone: 864-396-6352
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHANAUTICA JOHNSON · (Female)

NPI Number 1891665451
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2025
Last updated 11/10/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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