NPI 1013415033

Brianna Johnson

Practitioner Clinical Psychologist West Lafayette, IN

Practice location

Address: 601 Stadium Mall Drive Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907
Phone: (765) 494-6995

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20043078A (IN)

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Registry record

NPI: 1013415033
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2018
Record last updated: 24 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.