IndividualActive
Maylene Johnson, M.A.
NPI 1093159386 · Intellectual & Developmental Disabilities Psychologist · Centennial, CO
Provider details
- NPI number
- 1093159386
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12273 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6482 S Quebec St
Centennial, CO 80111-4628
Phone: (970) 614-8808
Approximate (ZIP-level) locationGet directions
Mailing address
6482 S Quebec St
Centennial, CO 80111-4628
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.