Most Relevant Information
Provider Data
| NPI Number: | 1003294166 |
| Provider Name: | KRISTINA JOHNSON PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | BH002758 |
Most Important Dates
| Enumeration Date: | 05/09/2015 |
| Last Updated: | 07/02/2015 |
Provider Practice Location
701 BROAD ST
SUITE 422
SEWICKLEY
PA
151431652
Practice Location Phone/Fax
| Phone: | 4127418700 |
| Fax: | 4127418700 |
Provider Mailing Location
701 BROAD ST
SUITE 422
SEWICKLEY
PA
151431652
Provider Mailing Phone/Fax
| Phone: | 4127418700 |
| Fax: | 4127418700 |