| Elizabeth Johnson, Phd., Llc | |
|
12105 Ambassador Dr Colorado Springs CO 80921-3642 | |
| (888) 948-6789 | |
| (877) 345-3511 |
| Full Name | Elizabeth Johnson, Phd., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12105 Ambassador Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Elizabeth A Johnson (OWNER) |
| Authorized Official Contact | 3072862851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Johnson, Phd., Llc 4860 Robb St Ste 201 Wheat Ridge CO 80033-2162 Ph: (888) 948-6789 | Elizabeth Johnson, Phd., Llc 12105 Ambassador Dr Colorado Springs CO 80921-3642 Ph: (888) 948-6789 |
| NPI Number | 1902431927 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902431927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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