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

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