Clifford Alan Johannsen in Salem - Clinical Child & Adolescent
Clifford Alan Johannsen - NPI 1962627901
Clifford Alan Johannsen is a Clinical Child & Adolescent in Salem, Oregon. Clifford Alan Johannsen practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Clifford Alan Johannsen is 1962627901. The last update date is 2007-07-08.
Clifford Alan Johannsen's current location address is 635 Church St Ne, Salem, Oregon. You can contact this provider via phone number 5033999691 and fax number 5033999401. The mailing address for Clifford Alan Johannsen is 635 Church St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Alan Johannsen |
|---|---|
| Address | 635 Church St Ne, Salem, Oregon |
| Phone Number | 5033999691 |
| Fax Number | 5033999401 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1962627901 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 635 Church St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973012402 |
| Phone Number | 5033999691 |
| Fax Number | 5033999401 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 935 |
|
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 |
|
Post Comment/ Review Below
What is the unique identification code assigned to Clifford Alan Johannsen by the Centers for Medicare & Medicaid Services?
The Clifford Alan Johannsen has been issued the NPI (National Provider Identifier) 1962627901. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clifford Alan Johannsen's facilities are situated?
The facilities of Clifford Alan Johannsen are physically located at the following address: 635 Church St Ne, Salem, OR, 973012402.
What is Clifford Alan Johannsen'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 Clifford Alan Johannsen is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962627901 to Clifford Alan Johannsen?
The Centers for Medicare & Medicaid Services assigned the 1962627901 to Clifford Alan Johannsen on 2007-04-16.
When was the information related to Clifford Alan Johannsen most recently updated or refreshed?
The details pertaining to the Clifford Alan Johannsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
Address: Po Box 2333, Clay, NY
Address: 11541 County Road 1, Fairhope, AL
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: Po Box 2356, Guerneville, CA
Address: 176 Barnwood Dr, Edgewood, KY
Address: 1224 10th St, Coronado, CA
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 1438 W 38th St, Erie, PA
Address: Po Box 491000, Leesburg, FL
Address: 848 W Kings Hwy, Coatesville, PA
Address: 848 W Kings Hwy, Coatesville, PA
Address: 1191 Nw Tahoe Lane, Silverdale, WA
Address: 2022 Fifteenth Avenue, Columbus, GA
Address: 1315 W College Ave, State College, PA
Address: 1146 Opal Ct, Hagerstown, MD