Jacqueline Kay Johnson in Flagstaff - Psychologist
Jacqueline Kay Johnson - NPI 1396959664
Jacqueline Kay Johnson is a Psychologist in Flagstaff, Arizona. Jacqueline Kay Johnson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jacqueline Kay Johnson is 1396959664. The last update date is 2007-07-26.
Jacqueline Kay Johnson's current location address is 416 N Kendrick St, Flagstaff, Arizona. You can contact this provider via phone number 9287749123. The mailing address for Jacqueline Kay Johnson is 416 N Kendrick St, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Kay Johnson |
|---|---|
| Address | 416 N Kendrick St, Flagstaff, Arizona |
| Phone Number | 9287749123 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1396959664 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 416 N Kendrick St |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860011598 |
| Phone Number | 9287749123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1104 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Jacqueline Kay Johnson by the Centers for Medicare & Medicaid Services?
The Jacqueline Kay Johnson has been issued the NPI (National Provider Identifier) 1396959664, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jacqueline Kay Johnson?
The Jacqueline Kay Johnson is physically situated at 416 N Kendrick St, in the city of Flagstaff, state of AZ, with the postal code 860011598.
What is the Jacqueline Kay Johnson's area of specialization and corresponding taxonomy classification?
The Jacqueline Kay Johnson's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396959664 to Jacqueline Kay Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1396959664 to Jacqueline Kay Johnson on 2007-05-09.
When was the information pertaining to Jacqueline Kay Johnson most recently updated or revised?
The details related to Jacqueline Kay Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY