Johnson, Deborah Hazel
Johnson, Deborah Hazel is an sole proprietor health care provider with primary practice located at 10715 Charter Dr Ste 270 , Columbia MD 21044-2871. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Johnson, Deborah Hazel can be contacted via phone (410) 997-8191.Contact Information
Primary practice address
10715 Charter Dr Ste 270
Columbia MD 21044-2871
Phone: (410) 997-8191
Fax: (301) 384-7415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1285 | Maryland |
Profile Details
| NPI number | 1477759405 |
|---|---|
| LBN Legal business name | Johnson, Deborah Hazel |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Jan 28th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477759405 | NPPES |
| Maryland | Other | 492287 | MEDICARE PTAN |
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