| Holly E. Johnson, P.h.d.,p.a. | |
|
4005 W 65th St Suite 118 Edina MN 55435-1720 | |
| (952) 929-7309 | |
| Not Available |
| Full Name | Holly E. Johnson, P.h.d.,p.a. |
|---|---|
| Speciality | Psychologist |
| Location | 4005 W 65th St, Edina, Minnesota |
| Authorized Official Name and Position | Holly Johnson (PRESIDENT) |
| Authorized Official Contact | 9529297309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly E. Johnson, P.h.d.,p.a. 4005 W 65th St Suite 118 Edina MN 55435-1720 Ph: (952) 929-7309 | Holly E. Johnson, P.h.d.,p.a. 4005 W 65th St Suite 118 Edina MN 55435-1720 Ph: (952) 929-7309 |
| NPI Number | 1710160585 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710160585 | NPI | - | NPPES |
| 1659363323 | Other | MN | NPI INDIVIDUAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP 2466 (Minnesota) | Primary |
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