Johnson, Theresa Diane
Johnson, Theresa Diane is an sole proprietor health care provider with primary practice located at 3350 Ridgelake Dr Ste 100 , Metairie LA 70002-3829. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Johnson, Theresa Diane can be contacted via phone (504) 874-3190.Contact Information
Primary practice address
3350 Ridgelake Dr Ste 100
Metairie LA 70002-3829
Phone: (504) 874-3190
Fax: (504) 378-3859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 785 | Louisiana |
Profile Details
| NPI number | 1124300538 |
|---|---|
| LBN Legal business name | Johnson, Theresa Diane |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2011 |
| Last updated | Sep 12th, 2011 - about 15 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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