Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Kay Johnson, EDD

Individual provider Psychologist · NPI 1396959664

Dr. Jacqueline Kay Johnson, EDD is a Psychologist in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

416 N Kendrick St
Flagstaff, AZ 86001-1598
Phone: (928) 774-9123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X (AZ)
Psychologist Taxonomy 103T00000X · Licence 1104 (AZ)

Record details

NPI number1396959664
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1394, Flagstaff, AZ 86002-1394

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