Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GEORDAN LEGETTE JOHNSON
Active Sole ProprietorMR. GEORDAN LEGETTE JOHNSON is a Psychologist healthcare provider located in ROXBURY, Massachusetts. NPI 1194035774 is currently active in the NPPES registry. Verify at CMS.
Psychologist · ROXBURY, MA
Registration Details
- NPI Number
- 1194035774
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2010 (15.859643966558 yrs)
- Last Updated
- Oct 15, 2010
- License
-
S66991897 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 DUDLEY STROXBURY, MA, 021192732Browse MA providers · Browse ZIP 02119
- Phone
- 6174456655
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in ROXBURY, MA
| Name | Credential | NPI |
|---|---|---|
| DR. FRANTZ M MOISE | PH.D. | 1710352794 |
| ANTONIO AQUINO | MA, PHD | 1831979772 |
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.