Most Relevant Information
Provider Data
| NPI Number: | 1003544107 |
| Provider Name: | RACHEL JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 2690009 |
Most Important Dates
| Enumeration Date: | 08/08/2022 |
| Last Updated: | 08/08/2022 |
Provider Practice Location
14 GROVE LN
LEVITTOWN
NY
117561017
Practice Location Phone/Fax
| Phone: | 5166476395 |
| Fax: |
Provider Mailing Location
14 GROVE LN
LEVITTOWN
NY
117561017
Provider Mailing Phone/Fax
| Phone: | 5166476395 |
| Fax: |