Johnson, Kim L.
Johnson, Kim L. is an sole proprietor health care provider with primary practice located at 1930 S Alma School Rd Suite Number B-214, Mesa AZ 85210-3064. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Johnson, Kim L. can be contacted via phone (480) 491-5501.Contact Information
Primary practice address
1930 S Alma School Rd Suite Number B-214
Mesa AZ 85210-3064
Phone: (480) 491-5501
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1796 | Arizona |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1796 | Arizona |
Profile Details
NPI number | 1881700961 |
---|---|
LBN Legal business name | Johnson, Kim L. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2006 |
Last updated | Jul 10th, 2007 - about 17 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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