| Doctor Name: | HARRIET JOHNSON |
| NPI Number: | 1962572792 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 160572 |
| Business Practice Address: | 1 Dogwood Rd Bourne, MA - 025322227 |
| Business Phone Number: | 5087597279 |
| Business Fax Number: | 5088887553 |
| Mailing Address: | 1 Dogwood Rd, BOURNE |
| State: | MA |
| Postal Code: | 025322227 |
| Phone Number: | 5087597279 |
| Fax Number: | 5088887553 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 160572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |