| Doctor Name: | CHAD PARKER JOHNSON |
| NPI Number: | 1558736751 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., LCP |
| License Number: | 0810005309 |
| Business Practice Address: | 1250 E Marshall St Child Neurology Richmond, VA - 232985051 |
| Business Phone Number: | 8048280442 |
| Business Fax Number: | 8048270941 |
| Mailing Address: | Po Box 91734, RICHMOND |
| State: | VA |
| Postal Code: | 232911734 |
| Phone Number: | 8043586100 |
| Fax Number: | 8043427619 |
| NPI Enumeration Date: | 12/14/2015 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 0810005309 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |