Linda June Johnson in Roseville - Psychologist

Linda June Johnson - NPI 1063638427

Linda June Johnson is a Psychologist in Roseville, Minnesota. Linda June Johnson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Linda June Johnson is 1063638427. The last update date is 2007-07-08.

Linda June Johnson's current location address is 2780 Snelling Ave N Ste 104, Roseville, Minnesota. You can contact this provider via phone number 6516335290 and fax number 6516335238. The mailing address for Linda June Johnson is 2780 Snelling Ave N Ste 104, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Linda June Johnson
Address 2780 Snelling Ave N Ste 104, Roseville, Minnesota
Phone Number 6516335290
Fax Number 6516335238
Sole Proprietor N
Credentials L.P.

NPI Number Detail

NPI Number 1063638427
Provider Enumeration Date 2007-04-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2780 Snelling Ave N Ste 104
City Roseville
State Minnesota (MN)
Post Code 551137115
Phone Number 6516335290
Fax Number 6516335238

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP4157
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44177JO MN BCBSM NON PAR PROVIDER #

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FAQs about Linda June Johnson

What is the Linda June Johnson's unique identification number?

The Linda June Johnson has been assigned the NPI (National Provider Identifier) Number 1063638427 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Linda June Johnson's facilities are geographically located?

The facilities of Linda June Johnson are physically situated at the following location: 2780 Snelling Ave N Ste 104, Roseville, MN, 551137115.

What is Linda June Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Linda June Johnson is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063638427 to Linda June Johnson?

The Centers for Medicare & Medicaid Services assigned the 1063638427 to Linda June Johnson on 2007-04-17.

As of what date was the information regarding Linda June Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Linda June Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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