Individual
MICHAEL KEVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2237 RIDGE RD, STE 101, ROCKWALL, TX 75087-5164
(972) 771-3969
(972) 771-8258
Mailing address
2237 RIDGE RD, STE 101, ROCKWALL, TX 75087-5164
(972) 771-3969
(972) 771-8258
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36113
TX
Other
Enumeration date
01/23/2012
Last updated
12/13/2016
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