Debra Johansen, PHD

NPI 1467537423 · on the registry since 2006

Practice

Address: 6121 Green Bay Rd
Suite 230
Kenosha, WI 53142
Phone: (262) 654-8366
Organisation at this address: Zenith Healthcare Sc
Premier Pediatrics Ltd
Phoenixc Healthcare, Sc
Advance Clinical Services
Fleming Psychological Services, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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 Wisconsin