Individual
DR. DAVID MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
16 FEDERAL ST, GREENFIELD, MA 01301-3302
(413) 772-0144
(413) 772-0413
Mailing address
16 FEDERAL ST, GREENFIELD, MA 01301-3302
(413) 772-0144
(413) 772-0413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1177
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005919094
AETNA
MA
05
—
0504173
—
MA
01
—
W01676
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
01/16/2007
Last updated
07/08/2007
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