Lynnette Johnson in South Orange - Addiction (substance Use Disorder)

Lynnette Johnson - NPI 1124130513

Lynnette Johnson is a Addiction (substance Use Disorder) in South Orange, New Jersey. Lynnette Johnson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lynnette Johnson is 1124130513. The last update date is 2007-07-08.

Lynnette Johnson's current location address is 556 Irving Ter, South Orange, New Jersey. You can contact this provider via phone number 9737635701. The mailing address for Lynnette Johnson is 556 Irving Ter, South Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynnette Johnson
Address 556 Irving Ter, South Orange, New Jersey
Phone Number 9737635701
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1124130513
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 556 Irving Ter
City South Orange
State New Jersey (NJ)
Post Code 70792435
Phone Number 9737635701
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 103Ta0400X
Licence No 35SI00308600
Definition:
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga

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FAQs about Lynnette Johnson

What is the Lynnette Johnson's unique identification number?

The Lynnette Johnson has been assigned the NPI (National Provider Identifier) Number 1124130513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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

The Lynnette Johnson is physically situated at the following address: 556 Irving Ter, South Orange, NJ, 70792435.

What is Lynnette 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 Lynnette Johnson is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 103Ta0400X.

On what date did the Lynnette Johnson receive its 1124130513 assignment from the Centers for Medicare & Medicaid Services?

The Lynnette Johnson was assigned its 1124130513 by the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date were the details pertaining to Lynnette Johnson last refreshed?

The information related to the Lynnette Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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