Beverly Jean Johnson, MA.LP

Psychologist · Edina, MN

Individual Active NPI

NPI number 1295836492

Practice location

5275 Edina Industrial Blvd Ste 124
Edina, MN 55439-2903
Phone
(952) 926-3412
Fax
(952) 926-3414

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NPI record

NPI
1295836492
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
August 8, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X LP2076 MN

About Beverly Johnson

Beverly Jean Johnson, MA.LP is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903. The NPI number 1295836492 was assigned on September 26, 2006 and the record was last updated on August 8, 2019.

Beverly Johnson lists a license in the registry: #LP2076 (MN) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Beverly Jean Johnson, MA.LP?

The NPI number is 1295836492.

What is the phone number of Beverly Johnson?

The phone number listed for the practice location is (952) 926-3412.

Where is Beverly Johnson located?

5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903.

What is the taxonomy code for Beverly Johnson?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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