| Doctor Name: | DR. LEANOR M JOHANSEN |
| NPI Number: | 1003164070 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY23615 |
| Business Practice Address: | 7285 Quill Dr Downey, CA - 902422001 |
| Business Phone Number: | 5629406077 |
| Business Fax Number: | |
| Mailing Address: | 7285 Quill Dr, DOWNEY |
| State: | CA |
| Postal Code: | 902422001 |
| Phone Number: | 5629406077 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2012 |
| NPI Last Update Date: | 08/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY23615 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |