Bonnie Bea Johnson in Broken Arrow - Clinical Child & Adolescent

Bonnie Bea Johnson - NPI 1164581252

Bonnie Bea Johnson is a Clinical Child & Adolescent in Broken Arrow, Oklahoma. Bonnie Bea Johnson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Bonnie Bea Johnson is 1164581252. The last update date is 2007-12-06.

Bonnie Bea Johnson's current location address is 8937 S Garnett Rd, Broken Arrow, Oklahoma. You can contact this provider via phone number 9183422622 and fax number 9183422641. The mailing address for Bonnie Bea Johnson is 8937 S Garnett Rd, Broken Arrow, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonnie Bea Johnson
Address 8937 S Garnett Rd, Broken Arrow, Oklahoma
Phone Number 9183422622
Fax Number 9183422641
Sole Proprietor N
Credentials PH.D

NPI Number Detail

NPI Number 1164581252
Provider Enumeration Date 2006-12-06
Last Updated Date 2007-12-06

Provider Mailing Address Detail

Address 8937 S Garnett Rd
City Broken Arrow
State Oklahoma (OK)
Post Code 740126004
Phone Number 9183422622
Fax Number 9183422641

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 758
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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FAQs about Bonnie Bea Johnson

What is the unique 10-digit identifier code issued to Bonnie Bea Johnson by the Centers for Medicare & Medicaid Services?

The Bonnie Bea Johnson has been assigned the NPI (National Provider Identifier) 1164581252 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Bonnie Bea Johnson?

The Bonnie Bea Johnson is physically situated at 8937 S Garnett Rd, in the city of Broken Arrow, state of OK, with the postal code 740126004.

What is Bonnie Bea Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bonnie Bea Johnson is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1164581252 to Bonnie Bea Johnson?

The Centers for Medicare & Medicaid Services assigned the 1164581252 to Bonnie Bea Johnson on 2006-12-06.

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

The information pertaining to Bonnie Bea Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-06.

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