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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

NPI Number 1952546863
LBN Legal business name KIM L JOHNSON PHD LLC
Authorized official KIM JOHNSON - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2008
Last updated 12/05/2008 - About 18 years ago
Identifiers
AZ License # 1796
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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