Organization
DAN JOHNSON PHD CLINICAL NEUROPSYCHOLOGIST,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN JOHNSON PHD (CEO)
(870) 933-5174
Entity
Organization
Contact information
Practice address
1201 FLEMING AVE, JONESBORO, AR 72401-4311
(870) 933-5174
(870) 933-5235
Mailing address
1201 FLEMING AVE, JONESBORO, AR 72401-4311
(870) 933-5174
(870) 933-5235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01-10P
AR
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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