Stephanie Renee Johnson


Address: 1025 Thomas Jefferson St Nw, Suite 420 East, Washington, DC 20007-5201

Stephanie Renee Johnson (NPI# 1023248226, PAC ID# 6507905379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1023248226
PAC ID by PECOS 6507905379
Professional Enrollment ID I20190711001530
Full Name Stephanie Renee Johnson
Address 1025 Thomas Jefferson St Nw
Suite 420 East
Washington
DC 20007-5201
Gender F
Graduation Year 2002
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1025 Thomas Jefferson St Nw, Suite 420 East, Washington, DC 20007-5201

Organization Information

Office Location

Street Address 1025 THOMAS JEFFERSON ST NW
SUITE 420 EAST
City WASHINGTON
State DC
Zip 20007-5201

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Competitor

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City WASHINGTON
Zip Code 20007
Specialty PSYCHOLOGIST, CLINICAL
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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