Johnson, Joan Sharon

Johnson, Joan Sharon is an sole proprietor health care provider with primary practice located at 30 North St , New Haven VT 05472-2003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Johnson, Joan Sharon can be contacted via phone (802) 453-7912.

Contact Information

Primary practice address
30 North St New Haven VT 05472-2003
Phone: (802) 453-7912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0680000272 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Vermont

Profile Details

NPI number 1265423396
LBN Legal business name Johnson, Joan Sharon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265423396 NPPES
Vermont MEDICAID 1007025

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