Doctor Name: | MS. DORIS JOHNSTONE |
NPI Number: | 1003985011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS20695 |
Business Practice Address: | 7621 Canoga Ave Canoga Park, CA - 913044912 |
Business Phone Number: | 8185986900 |
Business Fax Number: | |
Mailing Address: | 13775 Glenoaks Blvd Unit 20, SYLMAR |
State: | CA |
Postal Code: | 913428369 |
Phone Number: | 8183561028 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS20695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |