Ronald R Johnson in Fayetteville - Clinical
Ronald R Johnson - NPI 1174528210
Ronald R Johnson is a Clinical in Fayetteville, North Carolina. Ronald R Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronald R Johnson is 1174528210. The last update date is 2007-07-09.
Ronald R Johnson's current location address is 2587 Ravenhill Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9103231543 and fax number 9104851257. The mailing address for Ronald R Johnson is 2587 Ravenhill Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald R Johnson |
|---|---|
| Address | 2587 Ravenhill Dr, Fayetteville, North Carolina |
| Phone Number | 9103231543 |
| Fax Number | 9104851257 |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1174528210 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2587 Ravenhill Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 2830354510 |
| Phone Number | 9103231543 |
| Fax Number | 9104851257 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3148 |
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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 |
|---|---|---|---|
| D8114 | NC | MEDCOST | |
| 2212866 | NC | CIGNA | |
| 344242 | NC | MANAGED HEALTH NETWORK | |
| 6107230 | NC | -- | |
| 046G5 | NC | BCBS |
Post Comment/ Review Below
What is the Ronald R Johnson's 1174528210?
The Ronald R Johnson's NPI (National Provider Identifier) Number is 1174528210. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ronald R Johnson located?
The Ronald R Johnson is located at 2587 Ravenhill Dr, Fayetteville, NC 2830354510.
What is Ronald R Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ronald R Johnson is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Ronald R Johnson's 1174528210 issued?
The Ronald R Johnson's 1174528210 was issued on 2005-06-16.
When was the information regarding Ronald R Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ronald R Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.