Provider Demographics
NPI:1639980618
Name:JOHNSON, AMBER (PPS SCHOOL PSYCHOLOG)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PPS SCHOOL PSYCHOLOG
Other - Prefix:MRS
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPS
Mailing Address - Street 1:2847 NOTRE DAME BLVD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-8319
Mailing Address - Country:US
Mailing Address - Phone:530-809-0599
Mailing Address - Fax:
Practice Address - Street 1:2847 NOTRE DAME BLVD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8319
Practice Address - Country:US
Practice Address - Phone:530-809-0599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220068905103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool