MS. Jackie Johnson, PSYCHOLOGY INTERN is a student in an organized health care education training program in Somerville, MA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MS. Jackie Johnson, PSYCHOLOGY INTERN NPI is 1407166119. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
111 SOUTH ST.
SOMERVILLE, MA
ZIP 02143
Phone: (617) 284-5130
The enumeration date for this NPI number is 10/15/2010 and was last updated on 10/15/2010.