Whalio Doctors

NPI 1164581252

Bonnie Bea Johnson, PHD

Practitioner Clinical Child & Adolescent Psychologist Claremore, OK

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
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 758 (OK)

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.