Troy Sherman Johnson in Shakopee - Clinical
Troy Sherman Johnson - NPI 1669471108
Troy Sherman Johnson is a Clinical in Shakopee, Minnesota. Troy Sherman Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Troy Sherman Johnson is 1669471108. The last update date is 2007-07-08.
Troy Sherman Johnson's current location address is 200 4th Ave W, Shakopee, Minnesota. You can contact this provider via phone number 9524968573. The mailing address for Troy Sherman Johnson is 200 4th Ave W, Shakopee, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Troy Sherman Johnson |
|---|---|
| Address | 200 4th Ave W, Shakopee, Minnesota |
| Phone Number | 9524968573 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MA, LP |
NPI Number Detail
| NPI Number | 1669471108 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 4th Ave W |
|---|---|
| City | Shakopee |
| State | Minnesota (MN) |
| Post Code | 5537912200 |
| Phone Number | 9524968573 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2968 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18780100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Troy Sherman Johnson by the Centers for Medicare & Medicaid Services?
The Troy Sherman Johnson has been issued the NPI (National Provider Identifier) 1669471108, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Troy Sherman Johnson?
The Troy Sherman Johnson is physically situated at 200 4Th Ave W, in the city of Shakopee, state of MN, with the postal code 5537912200.
What is Troy Sherman 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 Troy Sherman Johnson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Troy Sherman Johnson receive the assignment of its 1669471108 from the Centers for Medicare & Medicaid Services?
The Troy Sherman Johnson was issued its 1669471108 by the Centers for Medicare & Medicaid Services on 2005-07-18.
As of what date was the information pertaining to Troy Sherman Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Troy Sherman Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.