Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 4300 | OH |
N | 103T00000X | Psychologist | 4300 | OH |
N | 103TA0700X | Adult Development & Aging Psychologist | ||
Y | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1033523956 |
---|---|
Provider Name | Dr. Barbara Ann Scott-Johnson |
First Address | Marion, OH 43302-8684 |
Second Address | Marion, OH 43302-8684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2014 |
Last Update Date | 18/06/2014 |