NPI 1184010001
Courtney Johnson
Practice location
- Address
- 2080 S E St Suite 250, San Bernardino, CA 92408-2773
- Phone
- (909) 383-1073
- Fax
- (909) 422-1073
- Mailing address
- 423 Mackay Dr, San Bernardino, CA 92408-3230
Registered specialties
Licensed Psychiatric Technician
Primary
Registry record
- NPI
- 1184010001
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Apr 2015
- Record last updated
- 7 Apr 2015
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.