Dan Johnson in Jonesboro - Clinical Neuropsychologist
Dan Johnson - NPI 1720004716
Dan Johnson is a Clinical Neuropsychologist in Jonesboro, Arkansas. Dan Johnson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Dan Johnson is 1720004716. The last update date is 2007-07-08.
Dan Johnson's current location address is 1201 Fleming Ave, Jonesboro, Arkansas. You can contact this provider via phone number 8709335174 and fax number 8709335235. The mailing address for Dan Johnson is 1201 Fleming Ave, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dan Johnson |
|---|---|
| Address | 1201 Fleming Ave, Jonesboro, Arkansas |
| Phone Number | 8709335174 |
| Fax Number | 8709335235 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1720004716 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1201 Fleming Ave |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 72401 |
| Phone Number | 8709335174 |
| Fax Number | 8709335235 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 0110P |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5F374 | AR | MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique identifier code issued to Dan Johnson by the Centers for Medicare & Medicaid Services?
The Dan Johnson has been assigned the NPI (National Provider Identifier) 1720004716. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dan Johnson's facilities are situated?
The facilities of Dan Johnson are physically located at the following address: 1201 Fleming Ave, Jonesboro, AR, 72401.
What is Dan Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dan Johnson is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did Dan Johnson receive its 1720004716 assignment from the Centers for Medicare & Medicaid Services?
The Dan Johnson was assigned its 1720004716 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Dan Johnson most recently updated or revised?
The details related to Dan Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.