Deana Johnson, PSYCHOLOGIST
Individual provider Active NPI School Psychologist · Stanleytown, VA
NPI 1225538259 · NPPES record last updated Feb 16, 2018
Key facts
- NPI
- 1225538259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 0813000176 (VA)
- Practice address
- 74 Edgewood Dr
Stanleytown, VA 24168-3001 - Phone
- (276) 634-4700
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0813000176 | VA | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0813000176 | VA | Yes |
Addresses
Primary practice location
74 Edgewood Dr
Stanleytown, VA 24168-3001
Mailing address
74 Edgewood Dr
Stanleytown, VA 24168-3001
Phone (276) 634-4700
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All providers in Stanleytown, VA · School Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.