Thor Johansen is a Clinical in Chicago, Illinois. Thor Johansen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thor Johansen is 1801094446. The last update date is 2007-07-08.
Thor Johansen's current location address is 3329 N Hoyne Ave # 1, Chicago, Illinois. You can contact this provider via phone number 7734282449. The mailing address for Thor Johansen is 3329 N Hoyne Ave # 1, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thor Johansen |
|---|---|
| Address | 3329 N Hoyne Ave # 1, Chicago, Illinois |
| Phone Number | 7734282449 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1801094446 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3329 N Hoyne Ave # 1 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606186243 |
| Phone Number | 7734282449 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71007301 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Thor Johansen by the Centers for Medicare & Medicaid Services?
The Thor Johansen has been assigned the NPI (National Provider Identifier) 1801094446. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thor Johansen is physically located?
The Thor Johansen is physically situated at the following address: 3329 N Hoyne Ave # 1, Chicago, IL, 606186243.
What is the Thor Johansen's specialty and taxonomy code?
The Thor Johansen's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Thor Johansen receive the assignment of its 1801094446 from the Centers for Medicare & Medicaid Services?
The Thor Johansen was issued its 1801094446 by the Centers for Medicare & Medicaid Services on 2007-07-05.
As of what date was the information pertaining to Thor Johansen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thor Johansen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.