Gary Gene Johnson in Minneapolis - Clinical

Gary Gene Johnson - NPI 1245452291

Gary Gene Johnson is a Clinical in Minneapolis, Minnesota. Gary Gene Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Gene Johnson is 1245452291. The last update date is 2007-07-09.

Gary Gene Johnson's current location address is 430 Oak Grove Street, Minneapolis, Minnesota. You can contact this provider via phone number 6128729072 and fax number 6128728605. The mailing address for Gary Gene Johnson is 430 Oak Grove Street, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Gene Johnson
Address 430 Oak Grove Street, Minneapolis, Minnesota
Phone Number 6128729072
Fax Number 6128728605
Sole Proprietor N
Credentials PH.D, LP,

NPI Number Detail

NPI Number 1245452291
Provider Enumeration Date 2007-05-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 430 Oak Grove Street
City Minneapolis
State Minnesota (MN)
Post Code 554033242
Phone Number 6128729072
Fax Number 6128728605

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP1794
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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FAQs about Gary Gene Johnson

What is the unique 10-digit identification code assigned to Gary Gene Johnson by the Centers for Medicare & Medicaid Services?

The Gary Gene Johnson has been issued the NPI (National Provider Identifier) 1245452291, which 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 Gary Gene Johnson's facilities are situated?

The facilities of Gary Gene Johnson are physically located at the following address: 430 Oak Grove Street, Minneapolis, MN, 554033242.

What is Gary Gene 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 Gary Gene Johnson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

When was the Gary Gene Johnson's 1245452291 issued?

The Gary Gene Johnson's 1245452291 was issued on 2007-05-02.

When was the information regarding Gary Gene Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gary Gene Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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