1710142377 NPI number — DR. DONNA J JOHNS PSY.D.

Table of content: DR. DONNA J JOHNS PSY.D. (NPI 1710142377)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710142377 NPI number — DR. DONNA J JOHNS PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNS
Provider First Name:
DONNA
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710142377
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9013 NE HIGHWAY 99 STE R
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98665-8943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-773-9121
Provider Business Mailing Address Fax Number:
360-314-4051

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9013 NE HIGHWAY 99 STE R
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98665-8943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-773-9121
Provider Business Practice Location Address Fax Number:
360-314-4051
Provider Enumeration Date:
07/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PY60015408 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 125597 . This is a "WASHINGTON STATE PROVIDER NUMBER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com