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Michael Kevin Johnson, PH.D. Valid NPI

Individual provider · Clinical Psychologist · Rockwall, TX

NPI
1114298122
Type
Individual (Type 1)
Primary specialty
Clinical Psychologist (Psychologist)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103TC0700X
License number
36113 (TX)
Sex
Male
Sole proprietor
Yes
Enumerated
2012-01-23
Last updated
2016-12-13
Practice location
2237 Ridge Rd, Ste 101
Rockwall, TX 75087-5164
(972) 771-3969

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