| Organization Name: | DONNA JOHNSON, PHD, LP, LLC |
| NPI Number: | 1003988569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA JOHNSON (SOLE PRACTITIONER) |
| Mailing Address: | 1595 Selby Ave Suite 202 Saint Paul |
| State: | MN US |
| Postal Code: | 551046221 |
| Phone Number: | 6516444930 |
| Fax Number: | 6516441095 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |