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Contact Information

KIM L JOHNSON PHD LLC
1930 S ALMA SCHOOL RD
SUITE #B-214
MESA, AZ85210-3064
 Phone: 480-491-5501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KIM L JOHNSON PHD LLC · (Female)

NPI # 1952546863
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2008
Last updated 12/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 1796
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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