| Doctor Name: | DR. SCOTT LOUCKS JOHNSTON |
| NPI Number: | 1235128570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 795 |
| Business Practice Address: | 480 Central Ave Pearl Harbor, HI - 968604908 |
| Business Phone Number: | 8084731880 |
| Business Fax Number: | 8084732144 |
| Mailing Address: | 725 Kapiolani Blvd, Apt #3002 HONOLULU |
| State: | HI |
| Postal Code: | 968136012 |
| Phone Number: | 8084731880 |
| Fax Number: | 8084732144 |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |