Doctor Name: | KRISTINA JOHNSON |
NPI Number: | 1003294166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | BH002758 |
Business Practice Address: | 701 Broad St Suite 422 Sewickley, PA - 151431652 |
Business Phone Number: | 4127418700 |
Business Fax Number: | 4127418700 |
Mailing Address: | 701 Broad St, Suite 422 SEWICKLEY |
State: | PA |
Postal Code: | 151431652 |
Phone Number: | 4127418700 |
Fax Number: | 4127418700 |
NPI Enumeration Date: | 05/09/2015 |
NPI Last Update Date: | 07/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | BH002758 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |