Velisa Marie Johnson in Grand Rapids - Clinical Neuropsychologist
Velisa Marie Johnson - NPI 1184892952
Velisa Marie Johnson is a Clinical Neuropsychologist in Grand Rapids, Michigan. Velisa Marie Johnson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Velisa Marie Johnson is 1184892952. The last update date is 2021-02-17.
Velisa Marie Johnson's current location address is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. You can contact this provider via phone number 6164866790. The mailing address for Velisa Marie Johnson is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Velisa Marie Johnson |
|---|---|
| Address | 100 Michigan St Ne # Mc845, Grand Rapids, Michigan |
| Phone Number | 6164866790 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1184892952 |
|---|---|
| Provider Enumeration Date | 2008-02-14 |
| Last Updated Date | 2021-02-17 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne # Mc845 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6164866790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 6301016552 |
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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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What is the unique provider identifier assigned to Velisa Marie Johnson?
The Velisa Marie Johnson has been issued the NPI (National Provider Identifier) 1184892952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Velisa Marie Johnson located?
The Velisa Marie Johnson is located at 100 Michigan St Ne # Mc845, Grand Rapids, MI 495032560.
What is Velisa Marie Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Velisa Marie Johnson's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184892952 to Velisa Marie Johnson?
The Velisa Marie Johnson received its 1184892952 assignment from the Centers for Medicare & Medicaid Services on 2008-02-14.
When was the information regarding Velisa Marie Johnson most recently updated?
The details pertaining to the Velisa Marie Johnson, including its address, specialty, and other relevant information, were last refreshed on 2021-02-17.
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