Individual provider · Type 1 NPI
Michelle Johnson
Health Service Psychologist · Hawthorne, FL
Practice location
22513 SE 61st Ave
Hawthorne, FL 32640-3640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 236912 (FL) |
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).
Another provider at this address
About NPI 1962019935
Michelle Johnson's National Provider Identifier is 1962019935, issued on Sep 24, 2020. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Hawthorne, FL. The record was last updated on Sep 24, 2020.