Individual provider · Type 1 NPI

Ellie I. Johnson, PSYD

Clinical Psychologist · Represa, CA

NPI number 1598087967 Active

Practice location

300 Prison Rd
Represa, CA 95671-0002

Mailing address

PO Box 290002
Represa, CA 95671-0002

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY24135 (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 1598087967

Ellie I. Johnson, PSYD's National Provider Identifier is 1598087967, issued on Feb 25, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Represa, CA. The record was last updated on Apr 19, 2013.