Individual
TROY E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D. HSPP
Contact information
Practice address
8150 OAKLANDON ROAD, INDIANAPOLIS, IN 46236-9554
(317) 823-4435
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001466A
IN
103TC0700X
Clinical Psychologist
Primary
20042250A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000848710
ANTHEM BCBS
IN
05
—
200923030
—
IN
Enumeration date
02/17/2006
Last updated
11/27/2023
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