Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN RIDEOUT JOHNSON, MD
Active Sole ProprietorSUSAN RIDEOUT JOHNSON, MD is a Developmental-Behavioral Pediatrics healthcare provider located in COLFAX, California. NPI 1083828297 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · COLFAX, CA
Registration Details
- NPI Number
- 1083828297
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2007 (19.289937522207 yrs)
- Last Updated
- Aug 23, 2007
- License
-
G59919 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
54 WEST GRASS VALLEY STREETCOLFAX, CA, 957139463Browse CA providers · Browse ZIP 95713
- Phone
- 9166388758
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.