Individual provider · Type 1 NPI

Andre L. Johnson

Student in an Organized Health Care Education/Training Program · Tarzana, CA

NPI number 1730857871 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Call (818) 654-3908 Map

Mailing address

1121 E Mcnichols Rd
Detroit, MI 48203-2857

Other practice locations

  • 1121 E Mcnichols Rd, Detroit, MI 48203-2857 · (313) 212-2998

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X6301018288 (MI)
Clinical Psychologist 103TC0700X6301018288 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730857871

Andre L. Johnson's National Provider Identifier is 1730857871, issued on Sep 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tarzana, CA. The record was last updated on Jul 18, 2022.