Individual provider · Type 1 NPI

Jacoba Johnson, PhD

Clinical Psychologist · Philadelphia, PA

NPI number 1982211058 Active

Practice location

255 S 17th St
Philadelphia, PA 19103-6231

Mailing address

2413 Spruce St
Philadelphia, PA 19103-5526

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS019061 (PA)

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 1982211058

Jacoba Johnson, PhD's National Provider Identifier is 1982211058, issued on Sep 23, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 15, 2022.