Provider Demographics
NPI:1326331414
Name:JOHNSON-GARWOOD, CHARMINE ROSLYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARMINE
Middle Name:ROSLYN
Last Name:JOHNSON-GARWOOD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:READING POST OFFICE, BOX 31
Mailing Address - Street 2:READING
Mailing Address - City:MONTEGO BAY
Mailing Address - State:ST. JAMES
Mailing Address - Zip Code:00000
Mailing Address - Country:JM
Mailing Address - Phone:619-288-4463
Mailing Address - Fax:
Practice Address - Street 1:SHOP #13, ICON FEAREVIEW MALL. 12 CRANE BLVD
Practice Address - Street 2:FAIRVIEW
Practice Address - City:MONTEGO BAY
Practice Address - State:ST. JAMES
Practice Address - Zip Code:00000
Practice Address - Country:JM
Practice Address - Phone:876-318-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ12-0153103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical