Doctor Name: | MRS. MONICA R. JOHNSON |
NPI Number: | 1508924333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 288 Bedford St Whitman, MA - 023821820 |
Business Phone Number: | 7814476425 |
Business Fax Number: | 7814471786 |
Mailing Address: | 15 Satucket Trl, BRIDGEWATER |
State: | MA |
Postal Code: | 023241942 |
Phone Number: | 5086970542 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |