Individual provider · Type 1 NPI
Geordan Legette Johnson
Psychologist · Roxbury, MA
Practice location
504 Dudley St
Roxbury, MA 02119-2732
Mailing address
175 Woodrow Ave
Dorchester Center, MA 02124-3210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | S66991897 (MA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1194035774
Geordan Legette Johnson's National Provider Identifier is 1194035774, issued on Oct 15, 2010. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Roxbury, MA. The record was last updated on Oct 15, 2010.