| Sandra L. Johnson, Ph.d., Inc. P.s. | |
|
3245 Fairview Ave. E. Ste. 310 Seattle WA 98102 | |
| (206) 322-2012 | |
| (206) 322-6897 |
| Full Name | Sandra L. Johnson, Ph.d., Inc. P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 3245 Fairview Ave. E. Ste. 310, Seattle, Washington |
| Authorized Official Name and Position | Sandra L Johnson (PRESIDENT) |
| Authorized Official Contact | 2063222012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra L. Johnson, Ph.d., Inc. P.s. 3245 Fairview Ave. E. Ste. 310 Seattle WA 98102 Ph: (206) 322-2012 | Sandra L. Johnson, Ph.d., Inc. P.s. 3245 Fairview Ave. E. Ste. 310 Seattle WA 98102 Ph: (206) 322-2012 |
| NPI Number | 1124230610 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124230610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY00001328 (Washington) | Primary |
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