Clifford Alan Johannsen in Salem - Group Psychotherapy

Clifford Alan Johannsen - NPI 1962627901

Clifford Alan Johannsen is a Group Psychotherapy in Salem, Oregon. Clifford Alan Johannsen practices all healthcare services and medical treatments related to Group Psychotherapy. 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 Group Psychotherapy
Taxonomy 103Tp2701X
Licence No 935
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

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FAQs about Clifford Alan Johannsen

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 Group Psychotherapy, and the taxonomy classification code that categorizes this area of expertise is 103Tp2701X.

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.

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