Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MICHELLE JOHNSON-MASTIN
ActiveMRS. MICHELLE JOHNSON-MASTIN is a Clinical Psychologist healthcare provider located in BERRIEN CENTER, Michigan. NPI 1467804104 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BERRIEN CENTER, MI
Registration Details
- NPI Number
- 1467804104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2016 (10.091178308134 yrs)
- Last Updated
- Jul 13, 2016
- Licenses
-
680193354 (MI)6801093354 (MI)
Practice Information
- Address
-
6418 DEANS HILL RDBERRIEN CENTER, MI, 491028713Browse MI providers · Browse ZIP 49102
- Phone
- 2698155500
- Fax
- 2698155373
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Social Worker
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.