NPI 1164581252
Bonnie Bea Johnson, PHD
Practice location
- Address
- 2990 N Sioux Ave, Claremore, OK 74017-3700
- Phone
- (918) 342-2622
- Fax
- (918) 342-2641
- Mailing address
- 8937 S Garnett Rd, Broken Arrow, OK 74012-6004
Registered specialties
Clinical Child & Adolescent Psychologist
Primary
Registry record
- NPI
- 1164581252
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Dec 2006
- Record last updated
- 6 Dec 2007
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.