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Contact Information

BRIAN R JOHNSON PHD PSYCHOLOGICAL CORPORATION INC
250 W. FIRST ST.
SUITE 352
CLAREMONT, CA91711
 Phone: 909-399-0556
 Fax: 909-624-2137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRIAN R JOHNSON PHD PSYCHOLOGICAL CORPORATION INC

NPI # 1144313792
LBN Legal business name BRIAN R JOHNSON PHD PSYCHOLOGICAL CORPORATION INC
Authorized official BRIAN JOHNSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 05/14/2018 - About 8 years ago
Identifiers
CA License # PSY8006
CA Medicaid PSY080060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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