Johnson, Stephanie B

Johnson, Stephanie B is an individual health care provider with primary practice located at 9097 Atlee Station Rd Suite 219, Mechanicsville VA 23116-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Stephanie B can be contacted via phone (804) 730-2829.

Contact Information

Primary practice address
9097 Atlee Station Rd Suite 219 Mechanicsville VA 23116-2525
Fax: (804) 730-2829
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003573 Virginia

Profile Details

NPI number 1780784033
LBN Legal business name Johnson, Stephanie B
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780784033 NPPES
Virginia Other 185249 ANTHEM BCBS

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