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Bennadine Johnson, PSYCHOLOGICAL ASSIST
NPI 1679934822 · on the registry since 2016
Practice
- Address
- 1501 5th Ave Ste 100
San Diego, CA 92101 - Phone
- (619) 461-3717
- Fax
- (619) 456-0832
- Organisation at this address
- Michael S Duffy Sr Do Inc
Pacific Medical/Bay RecoveryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-16
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 California