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NPI Profile for Dr ANDREW H JOHANSON JR in LANSDALE, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1114044757 |
|
| Status | Active | |
| Credentials | D.MIN. | |
| Entity | Individual | |
| Enumeration date | 03/26/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANDREW H JOHANSON JR
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ANDREW H JOHANSON JR, D.MIN.