Nicole Rebecca Liu Johnson, PSYD - Psychologist in Lynnwood, WA

Nicole Rebecca Liu Johnson, PSYD is a Psychologist based in Lynnwood, Washington. Nicole Rebecca Liu Johnson is licensed to practice in Washington (license number 60722639) and her current practice location is 20826 2nd Ave W, Lynnwood, Washington. She can be reached at her office (for appointments etc.) via phone at (925) 548-2863.

NPI number for Nicole Rebecca Liu Johnson is 1083133490 and her current mailing address is 20826 2nd Ave W, Lynnwood, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083133490.

Contact Information

Nicole Rebecca Liu Johnson, PSYD
20826 2nd Ave W,
Lynnwood, WA 98036-7256
(925) 548-2863
(925) 548-2863

Map and Direction




Healthcare Provider's Profile

Full NameNicole Rebecca Liu Johnson
GenderFemale
SpecialityPsychologist
Location20826 2nd Ave W, Lynnwood, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083133490
  • Provider Enumeration Date: 09/18/2017
  • Last Update Date: 09/18/2017

Medical Identifiers

Medical identifiers for Nicole Rebecca Liu Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083133490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 60722639 (Washington)Secondary
103TC0700XPsychologist - Clinical 60722639 (Washington)Secondary
103TC1900XPsychologist - Counseling 60722639 (Washington)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 60722639 (Washington)Secondary
103TF0200XPsychologist - Forensic 60722639 (Washington)Secondary
103T00000XPsychologist 60722639 (Washington)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. Nicole Rebecca Liu 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 AddressPractice Location Address
Nicole Rebecca Liu Johnson, PSYD
20826 2nd Ave W,
Lynnwood, WA 98036-7256

Ph: (925) 548-2863
Nicole Rebecca Liu Johnson, PSYD
20826 2nd Ave W,
Lynnwood, WA 98036-7256

Ph: (925) 548-2863

Reviews and Comments


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