Individual
DR. STEVEN T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
493 CENTURY LN, HOLLAND, MI 49423-4286
(616) 355-7190
(616) 355-9820
Mailing address
16165 RANSOM ST, HOLLAND, MI 49424-5531
(616) 994-6030
(616) 994-6030
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301007340
MI
103T00000X
Psychologist
6301007340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11279613
CAQH PROVIDER ID
MI
Enumeration date
03/26/2007
Last updated
09/11/2025
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