| Doctor Name: | MRS. BETTE JOHNSON |
| NPI Number: | 1063603439 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | North Hwy 160 Kayenta Unified School District Kayenta, AZ - 86033 |
| Business Phone Number: | 9286972051 |
| Business Fax Number: | 9286972095 |
| Mailing Address: | Po Box 337, KAYENTA |
| State: | AZ |
| Postal Code: | 86033 |
| Phone Number: | 9286972051 |
| Fax Number: | 9286972095 |
| NPI Enumeration Date: | 08/09/2007 |
| NPI Last Update Date: | 08/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |