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

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