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Ms. Jackie Johnson, PSYCHOLOGYINTERN
Student in an Organized Health Care Education/Training Program in Somerville, Massachusetts
NPI 1407166119

Jackie Johnson is a Student in an Organized Health Care Education/Training Program based in Somerville, MA. Jackie Johnson practices in Somerville, MA and has the professional credentials of PSYCHOLOGYINTERN. The NPI Number for Jackie Johnson is 1407166119 and holds a License No. (Massachusetts).

The current practice location address for Jackie Johnson is 111 South St., Somerville, MA and can be reached out via phone at 617-284-5130. You can also correspond with Jackie Johnson through the mailing address at 111 SOUTH ST., SOMERVILLE, MA - 02143 (mailing address contact number: ).

Location: 111 South St., Somerville, MA, 02143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407166119
Provider Name
Jackie Johnson
Credential
PSYCHOLOGYINTERN
Provider Entity Type
Individual
Gender
Female
Address
111 South St., Somerville, MA, 02143
Phone Number
617-284-5130
Fax Number
Provider Enumeration Date
10/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 South St.
City
Somerville
State
Massachusetts
Zip
02143
Phone Number
617-284-5130
Fax Number
person
Provider Business Mailing Address Details
Address
111 South St.
City
Somerville
State
Massachusetts
Zip
02143
Phone Number
617-284-5130
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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