Individual provider · Type 1 NPI
Stacy Kim Johnston, PhD
Clinical Psychologist · La Mesa, CA
Practice location
4730 Palm Ave, 202
La Mesa, CA 91941-5266
Fax (619) 328-9332
Mailing address
4730 Palm Ave Ste 202
La Mesa, CA 91941-5244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY17457 (CA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1063569135
Stacy Kim Johnston, PhD's National Provider Identifier is 1063569135, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in La Mesa, CA. The record was last updated on Aug 19, 2013.