Doctor Name: | DR. ALAN EDWARD JOHNSON |
NPI Number: | 1417329905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 37103 |
Business Practice Address: | 914 Country Club Rd Argyle, TX - 762262503 |
Business Phone Number: | 2144447367 |
Business Fax Number: | 9404643491 |
Mailing Address: | 914 Country Club Rd, ARGYLE |
State: | TX |
Postal Code: | 762262503 |
Phone Number: | 2144447367 |
Fax Number: | 9404643491 |
NPI Enumeration Date: | 10/23/2015 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 37103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |