Holly Ellen Johnson in Edina - Psychologist
Holly Ellen Johnson - NPI 1659363323
Holly Ellen Johnson is a Psychologist in Edina, Minnesota. Holly Ellen Johnson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Holly Ellen Johnson is 1659363323. The last update date is 2007-07-08.
Holly Ellen Johnson's current location address is 4005 W 65th St, Edina, Minnesota. You can contact this provider via phone number 9529297309 and fax number 9529297365. The mailing address for Holly Ellen Johnson is 4005 W 65th St, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Ellen Johnson |
|---|---|
| Address | 4005 W 65th St, Edina, Minnesota |
| Phone Number | 9529297309 |
| Fax Number | 9529297365 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1659363323 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4005 W 65th St |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554351720 |
| Phone Number | 9529297309 |
| Fax Number | 9529297365 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP2466 |
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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 issued to Holly Ellen Johnson by the Centers for Medicare & Medicaid Services?
The Holly Ellen Johnson has been assigned the NPI (National Provider Identifier) 1659363323 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Holly Ellen Johnson is physically located?
The Holly Ellen Johnson is physically situated at the following address: 4005 W 65Th St, Edina, MN, 554351720.
What is the Holly Ellen Johnson's specialty and taxonomy code?
The Holly Ellen Johnson's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date was the 1659363323 assigned to Holly Ellen Johnson?
The Holly Ellen Johnson was issued its 1659363323 on 2005-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Holly Ellen Johnson's details last updated?
The information pertaining to the Holly Ellen Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-08.