Johnson, Mary Madeline

Johnson, Mary Madeline is an sole proprietor health care provider with primary practice located at 16306 Forest Gate Rd , Dubuque IA 52001-9701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Johnson, Mary Madeline can be contacted via phone (563) 556-7071.

Contact Information

Primary practice address
16306 Forest Gate Rd Dubuque IA 52001-9701
Phone: (563) 556-7071
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00568 Iowa
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00568 Iowa

Profile Details

NPI number 1124162763
LBN Legal business name Johnson, Mary Madeline
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 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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