Pamela M Johnson in Grand Rapids - Psychologist

Pamela M Johnson - NPI 1821178799

Pamela M Johnson is a Psychologist in Grand Rapids, Minnesota. Pamela M Johnson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pamela M Johnson is 1821178799. The last update date is 2007-07-08.

Pamela M Johnson's current location address is 21206 Bluebird Dr, Grand Rapids, Minnesota. You can contact this provider via phone number 2183279336. The mailing address for Pamela M Johnson is 21206 Bluebird Dr, Grand Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela M Johnson
Address 21206 Bluebird Dr, Grand Rapids, Minnesota
Phone Number 2183279336
Fax Number
Sole Proprietor Y
Credentials MA LP

NPI Number Detail

NPI Number 1821178799
Provider Enumeration Date 2006-10-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21206 Bluebird Dr
City Grand Rapids
State Minnesota (MN)
Post Code 557446218
Phone Number 2183279336
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP3611
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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FAQs about Pamela M Johnson

What is the Pamela M Johnson's 1821178799?

The Pamela M Johnson's NPI (National Provider Identifier) Number is 1821178799. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Pamela M Johnson is geographically located?

The Pamela M Johnson is physically situated at the following location: 21206 Bluebird Dr, Grand Rapids, MN, 557446218.

What is the area of specialization for Pamela M Johnson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pamela M Johnson is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Pamela M Johnson receive its 1821178799 assignment from the Centers for Medicare & Medicaid Services?

The Pamela M Johnson was assigned its 1821178799 by the Centers for Medicare & Medicaid Services on 2006-10-16.

When was the information pertaining to Pamela M Johnson most recently updated or revised?

The details related to Pamela M Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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