Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM L. JOHNSON, PH.D.
Active Sole ProprietorDR. KIM L. JOHNSON, PH.D. is a Child, Clinical Psychologist healthcare provider located in MESA, Arizona. NPI 1881700961 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · MESA, AZ
Registration Details
- NPI Number
- 1881700961
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2006 (20.009220436373 yrs)
- Last Updated
- Jul 10, 2007
- Licenses
-
1796 (AZ)1796 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1930 S ALMA SCHOOL RDSUITE NUMBER B-214MESA, AZ, 852103064Browse AZ providers · Browse ZIP 85210
- Phone
- 4804915501
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
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.