NPI 1174661003

Dan Johnson PHD Clinical Neuropsychologist,p.A.

Organisation Specialist Jonesboro, AR

Practice location

Address: 1201 Fleming Ave, Jonesboro, AR 72401-4311
Phone: (870) 933-5174
Fax: (870) 933-5235

Authorised official

Name: Dan Johnson
Title: Ceo
Phone: (870) 933-5174

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01-10P (AR)

Other Specialist providers in Arkansas →

Registry record

NPI: 1174661003
Entity type: Organization
NPI issued: 2 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.