Mark C Johnson in White River Junction - Clinical

Mark C Johnson - NPI 1801961214

Mark C Johnson is a Clinical in White River Junction, Vermont. Mark C Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark C Johnson is 1801961214. The last update date is 2007-07-08.

Mark C Johnson's current location address is 2456 Christian Street, White River Junction, Vermont. You can contact this provider via phone number 8022963030 and fax number 8022968407. The mailing address for Mark C Johnson is 2456 Christian Street, White River Junction, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark C Johnson
Address 2456 Christian Street, White River Junction, Vermont
Phone Number 8022963030
Fax Number 8022968407
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1801961214
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2456 Christian Street
City White River Junction
State Vermont (VT)
Post Code 50011222
Phone Number 8022963030
Fax Number 8022968407

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 280
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
1002039 VT --

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FAQs about Mark C Johnson

What is the unique identification code assigned to Mark C Johnson by the Centers for Medicare & Medicaid Services?

The Mark C Johnson has been issued the NPI (National Provider Identifier) 1801961214. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mark C Johnson is physically located?

The Mark C Johnson is physically situated at the following address: 2456 Christian Street, White River Junction, VT, 50011222.

What is the Mark C Johnson's area of specialization and corresponding taxonomy classification?

The Mark C Johnson's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1801961214 assigned to Mark C Johnson?

The Mark C Johnson was issued its 1801961214 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mark C Johnson most recently updated or refreshed?

The details pertaining to the Mark C Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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