NPI | 1740687888 |
---|---|
Former Legal Business Name | DR. AYHENS-JOHNSON PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | KNUTE JOHNSON Clinical Psychologist 510-282-4137 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26111) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-03 |