| Doctor Name: | DR. NORAH ALICE JOHNSON |
| NPI Number: | 1841290236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | R0500 |
| Business Practice Address: | 706 Tebbetts Avenue Belle, MO - 65013 |
| Business Phone Number: | 5738593744 |
| Business Fax Number: | |
| Mailing Address: | 706 Tebbetts Avenue, Po Box 326 BELLE |
| State: | MO |
| Postal Code: | 65013 |
| Phone Number: | 5738593744 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 07/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | R0500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |