Douglas Christian Johnson, PH.D. Valid NPI

Individual provider · Clinical Neuropsychologist · La Jolla, CA

NPI

1770788697

Type

Individual (Type 1)

Primary specialty

Clinical Neuropsychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103G00000X

License number

PSY21975 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-06-20

Last updated

2013-02-06