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

MS. Jackie Johnson, PSYCHOLOGYINTERN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407166119

MS. Jackie Johnson, PSYCHOLOGYINTERN is a Student in an Organized Health Care Education/Training Program in Somerville, Massachusetts. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

111 S St
Somerville, MA 02143
Phone: (617) 284-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407166119
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGYINTERN
Sole proprietorNo
NPI enumeratedOctober 15, 2010
Last updated in NPPESOctober 15, 2010

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