Provider Demographics
NPI:1720894975
Name:JOHNSON, RAMONA (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 E STATE ROAD 44
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-1772
Mailing Address - Country:US
Mailing Address - Phone:317-392-2505
Mailing Address - Fax:
Practice Address - Street 1:1121 E STATE ROAD 44
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-1772
Practice Address - Country:US
Practice Address - Phone:317-392-2505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1000648103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool