Tucker D Johnson in Germantown - Clinical

Tucker D Johnson - NPI 1083662373

Tucker D Johnson is a Clinical in Germantown, Tennessee. Tucker D Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tucker D Johnson is 1083662373. The last update date is 2008-02-12.

Tucker D Johnson's current location address is 2014 Exeter Rd, Germantown, Tennessee. You can contact this provider via phone number 9016244600 and fax number 9017571485. The mailing address for Tucker D Johnson is 2014 Exeter Rd, Germantown, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Tucker D Johnson
Address 2014 Exeter Rd, Germantown, Tennessee
Phone Number 9016244600
Fax Number 9017571485
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1083662373
Provider Enumeration Date 2006-05-05
Last Updated Date 2008-02-12

Provider Mailing Address Detail

Address 2014 Exeter Rd
City Germantown
State Tennessee (TN)
Post Code 381383945
Phone Number 9016244600
Fax Number 9017571485

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No P0000002427
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00329380 MEDICARE RAILROAD

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FAQs about Tucker D Johnson

What is the unique provider identifier assigned to Tucker D Johnson?

The Tucker D Johnson has been issued the NPI (National Provider Identifier) 1083662373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Tucker D Johnson is physically located?

The Tucker D Johnson is physically situated at the following address: 2014 Exeter Rd, Germantown, TN, 381383945.

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

On what date did the Centers for Medicare & Medicaid Services issue the 1083662373 to Tucker D Johnson?

The Tucker D Johnson received its 1083662373 assignment from the Centers for Medicare & Medicaid Services on 2006-05-05.

As of what date were the details related to Tucker D Johnson most recently updated or revised?

The information pertaining to Tucker D Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-12.

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