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Individual

DR. ERIC ROBERT JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
113 ROBERT CIR, PIKEVILLE, KY 41501-2178
(606) 432-8635
Mailing address
PO BOX 1136, PIKEVILLE, KY 41502-1136
(606) 432-8635
(606) 432-8635

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
199
KY

Other

Enumeration date
06/25/2007
Last updated
07/08/2007
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