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Contact Information

DAN JOHNSON, PHD
1201 FLEMING AVE
JONESBORO, AR72401
 Phone: 870-933-5174
 Fax: 870-933-5235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for DAN JOHNSON · (Male)

NPI Number 1720004716
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 0110P
  • AR Other 5F374 MEDICARE GROUP #
Hospital affiliation(s)
  • ST BERNARDS MEDICAL CENTER - (Acute Care)
    225 E JACKSON
    JONESBORO, AR 72401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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