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Geordan Johnson
NPI 1194035774 · on the registry since 2010 · sole proprietor
Practice
- Address
- 504 Dudley St
Roxbury, MA 02119 - Phone
- (617) 445-6655
- Organisation at this address
- Children'S Services Of Roxbury
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 79
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts