Individual
DR. RONALD R JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2587 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
(910) 323-1543
(910) 485-1257
Mailing address
2587 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
(910) 323-1543
(910) 485-1257
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046G5
BCBS
NC
01
—
2212866
CIGNA
NC
01
—
344242
MANAGED HEALTH NETWORK
NC
05
—
6107230
—
NC
01
—
D8114
MEDCOST
NC
Enumeration date
06/16/2005
Last updated
07/09/2007
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