Individual
MR. MICHAEL EUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
430 WEST WARNER ROAD, SUITE 104, TEMPE, AZ 85284
(602) 421-7481
(580) 785-0751
Mailing address
430 WEST WARNER ROAD, SUITE 104, TEMPE, AZ 85284
(602) 421-7481
(480) 785-0751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3462
AZ
103TC1900X
Counseling Psychologist
3462
AZ
Other
Enumeration date
04/17/2006
Last updated
05/29/2013
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