Individual provider · Type 1 NPI

Jacqueline Johnson

Health Service Psychologist · Atlanta, GA

NPI number 1811160740 Active

Practice location

2107 Gardenwood Ct
Atlanta, GA 30349

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1811160740

Jacqueline Johnson's National Provider Identifier is 1811160740, issued on Apr 11, 2008. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Atlanta, GA. The record was last updated on Aug 1, 2019.