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Michelle Johnson
Health Service Psychologist in Hawthorne, Florida
NPI 1962019935

Michelle Johnson is a Health Service Psychologist based in Hawthorne, FL and is specialized in Health Service. Michelle Johnson practices in Hawthorne, FL. The NPI Number for Michelle Johnson is 1962019935 and holds a License No. 236912 (Florida).

The current practice location address for Michelle Johnson is 22513 Se 61St Ave, Hawthorne, FL and can be reached out via phone at 352-234-5738.

Location: 22513 Se 61St Ave, Hawthorne, FL, 32640-3640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962019935
Provider Name
Michelle Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
22513 Se 61St Ave, Hawthorne, FL, 32640-3640
Phone Number
352-234-5738
Fax Number
Provider Enumeration Date
09/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22513 Se 61St Ave
City
Hawthorne
State
Florida
Zip
32640-3640
Phone Number
352-234-5738
Fax Number
person
Provider Business Mailing Address Details
Address
22513 Se 61St Ave
City
Hawthorne
State
Florida
Zip
32640-3640
Phone Number
352-234-5738
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
236912 (Florida)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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