Ms. Lynnette Johnson, PHD
Psychologist, Addiction (Substance Use Disorder) in East Orange, New Jersey
1124130513- Practice location
- 385 Tremont Ave, 116F, East Orange, NJ 07018-1023
- Phone
- 973-676-1000
- Fax
- 973-395-7016
- Last updated
- July 8, 2007
Lynnette Johnson is a Psychologist, Addiction (Substance Use Disorder) based in East Orange, NJ. Lynnette Johnson practices in East Orange, NJ and has the professional credentials of PHD. The NPI Number for Lynnette Johnson is 1124130513 and holds a License No. 35SI00308600 (NJ). The current practice location address for Lynnette Johnson is 385 Tremont Ave, 116F, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000 and via fax at 973-395-7016.
Provider Profile Details
- NPI Number
- 1124130513
- Provider Name
- Lynnette Johnson
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 385 Tremont Ave, 116F, East Orange, NJ 07018-1023
- Phone Number
- 973-676-1000
- Fax Number
- 973-395-7016
- Primary Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Tremont Ave
116F
East Orange, NJ 07018-1023 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1023
- Phone Number
- 973-676-1000
- Fax Number
- 973-395-7016
Provider Business Mailing Address Details
- Address
- 556 Irving Ter
South Orange, NJ 07079-2435 - City
- South Orange
- State
- NJ
- Zip
- 07079-2435
- Phone Number
- 973-763-5701
License Information
- License Number
- 35SI00308600
- License State
- NJ
- Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Lynnette Johnson, PHD?
The NPI number of Ms. Lynnette Johnson, PHD is 1124130513. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Lynnette Johnson, PHD?
Ms. Lynnette Johnson, PHD is registered under the primary taxonomy Psychologist, Addiction (Substance Use Disorder) (code 103TA0400X), licensed in NJ under license number 35SI00308600.
Where does Ms. Lynnette Johnson, PHD practice?
The practice location is 385 Tremont Ave, 116F, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone) or 973-395-7016 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124130513 directly on the NPPES registry website.