Individual
AMY H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5653 FRIST BLVD, STE 434, HERMITAGE, TN 37076-2062
(615) 871-9996
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1787
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151550
VALUE OPTIONS
—
01
—
3123342
BCBS
TN
05
—
3980433
—
TN
01
—
6194640
UNITED BEHAVIORAL HEALTH
—
05
—
89620249
—
KY
Enumeration date
09/27/2006
Last updated
10/25/2007
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