Kim L. Johnson in Mesa - Clinical Child & Adolescent
Kim L. Johnson - NPI 1881700961
Kim L. Johnson is a Clinical Child & Adolescent in Mesa, Arizona. Kim L. Johnson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kim L. Johnson is 1881700961. The last update date is 2007-07-10.
Kim L. Johnson's current location address is 1930 S Alma School Rd, Mesa, Arizona. You can contact this provider via phone number 4804915501. The mailing address for Kim L. Johnson is 1930 S Alma School Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim L. Johnson |
|---|---|
| Address | 1930 S Alma School Rd, Mesa, Arizona |
| Phone Number | 4804915501 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1881700961 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 1930 S Alma School Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852103064 |
| Phone Number | 4804915501 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1796 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identification code assigned to Kim L. Johnson by the Centers for Medicare & Medicaid Services?
The Kim L. Johnson has been issued the NPI (National Provider Identifier) 1881700961. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kim L. Johnson?
The Kim L. Johnson is situated at 1930 S Alma School Rd, in the city of Mesa, state of AZ, with the zip code 852103064.
What is the Kim L. Johnson's area of specialization and corresponding taxonomy classification?
The Kim L. Johnson's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881700961 to Kim L. Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1881700961 to Kim L. Johnson on 2006-08-22.
As of what date was the information regarding Kim L. Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kim L. Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-10.