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Nicole Rebecca Liu Johnson

Psychologist Clinical Psychologist Forensic Psychologist Counseling Psychologist and 2 more

20826 2nd Ave W
Lynnwood , Washington 98036-7256

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Psychologist
  • Cognitive & Behavioral Psychologist
  • Clinical Psychologist
  • Counseling Psychologist
  • Clinical Child & Adolescent Psychologist
  • Forensic Psychologist

Languages spoken

  • English

Location

20826 2nd Ave W Lynnwood , Washington 98036-7256

First Address

  • Nicole Rebecca Liu Johnson
  • 20826 2nd Ave W
  • Lynnwood, WA
  • Zip : 98036-7256
  • Phone : (925) 548-2863

Second Address

  • Nicole Rebecca Liu Johnson
  • 20826 2nd Ave W
  • Lynnwood, WA
  • Zip : 98036-7256
  • Fax : (925) 548-2863
  • Phone : (925) 548-2863

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FAQs


Where did Nicole Rebecca Liu Johnson attend graduate school?

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Where did Nicole Rebecca Liu Johnson do her residency?

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Where did Nicole Rebecca Liu Johnson do her fellowship?

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Is Nicole Rebecca Liu Johnson board certified?

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What type of doctor is Nicole Rebecca Liu Johnson

Psychologist

In what state does Nicole Rebecca Liu Johnson practice in?

Washington

Where is Nicole Rebecca Liu Johnson ’s practice located?

20826 2nd Ave W , Lynnwood, Washington, 98036-7256

What is Nicole Rebecca Liu Johnson ’s gender?

Female

Is Nicole Rebecca Liu Johnson a sole practitioner?

No

Is Nicole Rebecca Liu Johnson accepting new patients?

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What languages does Nicole Rebecca Liu Johnson speak?

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Does Nicole Rebecca Liu Johnson accept insurance?

Yes, Nicole Rebecca Liu Johnson accepts insurance

Does Nicole Rebecca Liu Johnson offers telemedicine?

Nicole Rebecca Liu Johnson has not indicated if she offers telemedicine

What is Nicole Rebecca Liu Johnson ’s professional license number?

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What is Nicole Rebecca Liu Johnson ’s NPI number?

1083133490

Does Nicole Rebecca Liu Johnson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 102L00000X Psychologist 60722639 WA
Y 103T00000X Psychologist 60722639 WA
N 103TB0200X Cognitive & Behavioral Psychologist 60722639 WA
N 103G00000X Clinical Psychologist 60722639 WA
N 103TC0700X Clinical Psychologist 60722639 WA
N 103TC1900X Counseling Psychologist 60722639 WA
N 103TC2200X Clinical Child & Adolescent Psychologist 60722639 WA
N 103TF0200X Forensic Psychologist 60722639 WA

National Provider Identifier

NPI 1083133490
Provider Name Nicole Rebecca Liu Johnson
First Address Lynnwood, WA 98036-7256
Second Address Lynnwood, WA 98036-7256
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 18/09/2017
Last Update Date 18/09/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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