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Contact Information

MICHAEL D JOHNSON, PhD
14740 BARRYKNOLL LN
SUITE 130
HOUSTON, TX77079
 Phone: 281-679-0333
 Fax: 281-679-6545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL D JOHNSON · (Male)

NPI Number 1063585784
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/17/2006
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 30562
  • TX Medicaid 149851101
  • TX Other 0004GD BLUE CROSS
  • TX Other 231238 VALUE OPTIONS
Hospital affiliation(s) Not Available
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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