Whalio Doctors

NPI 1023338423

Eric W Johnson, PSYD

Practitioner Clinical Psychologist Glendale, AZ

Practice location

Address
6677 W Thunderbird Rd STE D148, Glendale, AZ 85306
Phone
(602) 612-5004
Fax
(602) 843-0044
Mailing address
6677 W Thunderbird Rd STE D148, Glendale, AZ 85306-3769

Registered specialties (2)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-004622 (AZ)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS016730 (PA)

Registry record

NPI
1023338423
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jun 2010
Record last updated
16 Apr 2019

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.