| Doctor Name: | SUSAN RIDEOUT JOHNSON |
| NPI Number: | 1083828297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | G59919 |
| Business Practice Address: | 54 West Grass Valley Street Colfax, CA - 957139463 |
| Business Phone Number: | 9166388758 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1621, 54 W Grass Valley St COLFAX |
| State: | CA |
| Postal Code: | 957139463 |
| Phone Number: | 9166388758 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 08/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0006X |
| License Number: | G59919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Developmental |
| Taxonomy Definition: | A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |