George 'Brick' Re Johnstone in Columbia - Clinical

George 'Brick' Re Johnstone - NPI 1295788388

George 'Brick' Re Johnstone is a Clinical in Columbia, Missouri. George 'Brick' Re Johnstone practices all healthcare services and medical treatments related to Clinical. The NPI Number for George 'Brick' Re Johnstone is 1295788388. The last update date is 2022-02-03.

George 'Brick' Re Johnstone's current location address is 115 Business Loop 70 W, Columbia, Missouri. You can contact this provider via phone number 5738821561 and fax number 5738841889. The mailing address for George 'Brick' Re Johnstone is 115 Business Loop 70 W, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name George 'Brick' Re Johnstone
Address 115 Business Loop 70 W, Columbia, Missouri
Phone Number 5738821561
Fax Number 5738841889
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1295788388
Provider Enumeration Date 2006-05-18
Last Updated Date 2022-02-03

Provider Mailing Address Detail

Address 115 Business Loop 70 W
City Columbia
State Missouri (MO)
Post Code 652033244
Phone Number 5738821561
Fax Number 5738841889

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PYR0266
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
131610 MO HEALTHLINK
6145989 MO UNITED HEALTHCARE
680002939 MO RR MEDICARE
13644 MO BLUE SHIELD/BLUE CHOICE
493401103 MO --

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FAQs about George 'Brick' Re Johnstone

What is the unique 10-digit identifier code issued to George 'Brick' Re Johnstone by the Centers for Medicare & Medicaid Services?

The George 'Brick' Re Johnstone has been assigned the NPI (National Provider Identifier) 1295788388 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where George 'Brick' Re Johnstone's facilities are geographically located?

The facilities of George 'Brick' Re Johnstone are physically situated at the following location: 115 Business Loop 70 W, Columbia, MO, 652033244.

What is the George 'Brick' Re Johnstone's area of specialization and corresponding taxonomy classification?

The George 'Brick' Re Johnstone's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

When was the George 'Brick' Re Johnstone's 1295788388 issued?

The George 'Brick' Re Johnstone's 1295788388 was issued on 2006-05-18.

As of what date were the George 'Brick' Re Johnstone's details last updated?

The information pertaining to the George 'Brick' Re Johnstone, including its address, specialty, and other details, was most recently updated on 2022-02-03.

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