Dr Stacy Ann Johnson, PSYD is a
Psychologist based in Rialto, California. Dr Stacy Ann Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
850 E Foothill Blvd Ste A, Rialto, California. She can be reached at her office (for appointments etc.) via phone at
(909) 421-9300.
NPI number for Dr Stacy Ann Johnson is 1356477244 and her current mailing address is 850 E Foothill Blvd Ste A, Rialto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356477244.
Healthcare Provider's Profile
| Full Name | Dr Stacy Ann Johnson |
|---|
| Gender | Female |
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| Speciality | Psychologist |
|---|
| Location | 850 E Foothill Blvd Ste A, Rialto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356477244
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Stacy Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356477244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stacy Ann Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stacy Ann Johnson, PSYD
850 E Foothill Blvd Ste A,
Rialto, CA 92376-5230
Ph: (909) 421-9300 | Dr Stacy Ann Johnson, PSYD
850 E Foothill Blvd Ste A,
Rialto, CA 92376-5230
Ph: (909) 421-9300 |
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