Glen Lee Johnson in Traverse City - Clinical
Glen Lee Johnson - NPI 1992758353
Glen Lee Johnson is a Clinical in Traverse City, Michigan. Glen Lee Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glen Lee Johnson is 1992758353. The last update date is 2007-07-08.
Glen Lee Johnson's current location address is 5123 N Royal Dr, Traverse City, Michigan. You can contact this provider via phone number 2319297358 and fax number 2319350941. The mailing address for Glen Lee Johnson is 5123 N Royal Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Lee Johnson |
|---|---|
| Address | 5123 N Royal Dr, Traverse City, Michigan |
| Phone Number | 2319297358 |
| Fax Number | 2319350941 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1992758353 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5123 N Royal Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496849201 |
| Phone Number | 2319297358 |
| Fax Number | 2319350941 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301006001 |
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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 |
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Post Comment/ Review Below
What is the Glen Lee Johnson's 1992758353?
The Glen Lee Johnson's NPI (National Provider Identifier) Number is 1992758353. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Glen Lee Johnson's facilities are geographically located?
The facilities of Glen Lee Johnson are physically situated at the following location: 5123 N Royal Dr, Traverse City, MI, 496849201.
What is Glen Lee Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glen Lee Johnson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1992758353 assigned to Glen Lee Johnson?
The Glen Lee Johnson was issued its 1992758353 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Glen Lee Johnson most recently updated or revised?
The details related to Glen Lee Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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