Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LYNN JOHANSON
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · EPHRAIM, UT
Registration Details
- NPI Number
- 1194476895
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2022 (4.2709500328682 yrs)
- Last Updated
- Jan 13, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
66 N 180 WEPHRAIM, UT, 846272130Browse UT providers · Browse ZIP 84627
- Phone
- 4352830164
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in EPHRAIM, UT
| Name | Credential | NPI |
|---|---|---|
| DARCEY BARDSLEY | — | 1467746941 |
| RANAE REYNOLDS NEWLAND | — | 1225798762 |
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.