Doctor Name: | DR. STEPHANIE RENEE JOHNSON |
NPI Number: | 1023248226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 04553 |
Business Practice Address: | 1025 Thomas Jefferson St. Nw Suite 420 East Washington, DC - 20007 |
Business Phone Number: | 2029034763 |
Business Fax Number: | 2023330366 |
Mailing Address: | 1025 Thomas Jefferson St. Nw, Suite 420 East WASHINGTON |
State: | DC |
Postal Code: | 20007 |
Phone Number: | 2029034763 |
Fax Number: | 2023330366 |
NPI Enumeration Date: | 07/22/2009 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 04553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |