Philip A Johnson in Chattanooga - Health Service

Philip A Johnson - NPI 1174604169

Philip A Johnson is a Health Service in Chattanooga, Tennessee. Philip A Johnson practices all healthcare services and medical treatments related to Health Service. The NPI Number for Philip A Johnson is 1174604169. The last update date is 2007-11-17.

Philip A Johnson's current location address is 325 Market St, Chattanooga, Tennessee. You can contact this provider via phone number 4237789455 and fax number 4232672146. The mailing address for Philip A Johnson is 325 Market St, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Philip A Johnson
Address 325 Market St, Chattanooga, Tennessee
Phone Number 4237789455
Fax Number 4232672146
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1174604169
Provider Enumeration Date 2006-10-18
Last Updated Date 2007-11-17

Provider Mailing Address Detail

Address 325 Market St
City Chattanooga
State Tennessee (TN)
Post Code 374021226
Phone Number 4237789455
Fax Number 4232672146

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No P - 547
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
43707 TN BCBST PROVIDER NO.

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FAQs about Philip A Johnson

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

The Philip A Johnson has been issued the NPI (National Provider Identifier) 1174604169. 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 Philip A Johnson is physically located?

The Philip A Johnson is physically situated at the following address: 325 Market St, Chattanooga, TN, 374021226.

What is Philip A Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Philip A Johnson's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.

When did the Philip A Johnson receive its 1174604169?

The Philip A Johnson was issued its 1174604169 on 2006-10-18, which is the date when the organization was assigned this unique identifier.

As of what date were the Philip A Johnson's details last updated?

The information pertaining to the Philip A Johnson, including its address, specialty, and other details, was most recently updated on 2007-11-17.

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