Healthcare Provider Details

I. General information

NPI: 1982924965
Provider Name (Legal Business Name): BARBARA L. JOHNSTON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA L. COLTON

II. Dates (important events)

Enumeration Date: 06/01/2010
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 WANDA WAY
MARTINEZ CA
94553-9778
US

IV. Provider business mailing address

41 WANDA WAY
MARTINEZ CA
94553-9778
US

V. Phone/Fax

Practice location:
  • Phone: 925-229-3162
  • Fax:
Mailing address:
  • Phone: 925-229-3162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: