Richard Earl Johnson in Fort Worth - Clinical
Richard Earl Johnson - NPI 1306877527
Richard Earl Johnson is a Clinical in Fort Worth, Texas. Richard Earl Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Earl Johnson is 1306877527. The last update date is 2022-04-20.
Richard Earl Johnson's current location address is 3109 6th Ave Ste B, Fort Worth, Texas. You can contact this provider via phone number 8178468466 and fax number 8172880958. The mailing address for Richard Earl Johnson is 3109 6th Ave Ste B, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Earl Johnson |
|---|---|
| Address | 3109 6th Ave Ste B, Fort Worth, Texas |
| Phone Number | 8178468466 |
| Fax Number | 8172880958 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1306877527 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2022-04-20 |
Provider Mailing Address Detail
| Address | 3109 6th Ave Ste B |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761103800 |
| Phone Number | 8178468466 |
| Fax Number | 8172880958 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 25795 |
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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 |
|---|---|---|---|
| 1008109 | UT | AMERIGROUP | |
| 0077TH | TX | BCBS PROVIDER ID | |
| 102647805 | TX | -- | |
| 8B8909 | TX | BCBS | |
| 102647804 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Earl Johnson by the Centers for Medicare & Medicaid Services?
The Richard Earl Johnson has been issued the NPI (National Provider Identifier) 1306877527 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Richard Earl Johnson's facilities are situated?
The facilities of Richard Earl Johnson are physically located at the following address: 3109 6Th Ave Ste B, Fort Worth, TX, 761103800.
What is the area of specialization for Richard Earl Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard Earl Johnson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Richard Earl Johnson receive its 1306877527 assignment?
The Richard Earl Johnson was assigned its 1306877527 on 2006-07-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Richard Earl Johnson last refreshed?
The information related to the Richard Earl Johnson, including its address, specialty, and other relevant details, was last updated on 2022-04-20.
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