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