Clifford Alan Johannsen in Salem - Psychologist
Clifford Alan Johannsen - NPI 1962627901
Clifford Alan Johannsen is a Psychologist in Salem, Oregon. Clifford Alan Johannsen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clifford Alan Johannsen is 1962627901. The last update date is 2007-07-08.
Clifford Alan Johannsen's current location address is 635 Church St Ne, Salem, Oregon. You can contact this provider via phone number 5033999691 and fax number 5033999401. The mailing address for Clifford Alan Johannsen is 635 Church St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Alan Johannsen |
|---|---|
| Address | 635 Church St Ne, Salem, Oregon |
| Phone Number | 5033999691 |
| Fax Number | 5033999401 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1962627901 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 635 Church St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973012402 |
| Phone Number | 5033999691 |
| Fax Number | 5033999401 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 935 |
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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 identification code assigned to Clifford Alan Johannsen by the Centers for Medicare & Medicaid Services?
The Clifford Alan Johannsen has been issued the NPI (National Provider Identifier) 1962627901. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clifford Alan Johannsen's facilities are situated?
The facilities of Clifford Alan Johannsen are physically located at the following address: 635 Church St Ne, Salem, OR, 973012402.
What is Clifford Alan Johannsen'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 Clifford Alan Johannsen 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 1962627901 to Clifford Alan Johannsen?
The Centers for Medicare & Medicaid Services assigned the 1962627901 to Clifford Alan Johannsen on 2007-04-16.
When was the information related to Clifford Alan Johannsen most recently updated or refreshed?
The details pertaining to the Clifford Alan Johannsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX