Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theodore Martin Johnson, PHD

Individual provider Clinical Psychologist · NPI 1356446777

Dr. Theodore Martin Johnson, PHD is a Clinical Psychologist in Olympia, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

500 Lilly Rd NE #205
Olympia, WA 98506-5195
Phone: (360) 413-8222
Fax: (360) 413-8205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY2977 (WA)

Record details

NPI number1356446777
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJuly 8, 2007
Mailing address500 Lilly Rd Ne, 205, Olympia, WA 98506-5195

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