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

Mr. Geordan Legette Johnson

Individual provider Psychologist · NPI 1194035774

Mr. Geordan Legette Johnson is a Psychologist in Roxbury, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2010

Practice location Address checks out

504 Dudley St
Roxbury, MA 02119-2732
Phone: (617) 445-6655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence S66991897 (MA)

Record details

NPI number1194035774
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2010
Last updated in NPPESOctober 15, 2010
Mailing address175 Woodrow Ave, Dorchester Center, MA 02124-3210

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