| Lynn D. Johnson, Ph.d., P.c. | |
|
166 E 5900 S Ste B-108 Salt Lake City UT 84107-7257 | |
| (801) 261-1412 | |
| (801) 288-2269 |
| Full Name | Lynn D. Johnson, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 166 E 5900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Lynn D Johnson (PSYCHOLOGIST) |
| Authorized Official Contact | 8012611412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn D. Johnson, Ph.d., P.c. 166 E 5900 S Ste B-108 Salt Lake City UT 84107-7257 Ph: (801) 261-1412 | Lynn D. Johnson, Ph.d., P.c. 166 E 5900 S Ste B-108 Salt Lake City UT 84107-7257 Ph: (801) 261-1412 |
| NPI Number | 1457715450 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457715450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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