Organization
BERIT B. JOHNSON, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERIT BAILEY JOHNSON PH.D. (PSYCHOLOGIST)
(214) 215-2499
Entity
Organization
Contact information
Practice address
3100 CARLISLE ST STE 106, DALLAS, TX 75204-0991
(214) 215-2499
(214) 720-0073
Mailing address
3100 CARLISLE ST STE 106, DALLAS, TX 75204-0991
(214) 215-2499
(214) 720-0073
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32099
PSYCHOLOGY LICENSE NUMBER
TX
Enumeration date
06/29/2006
Last updated
08/22/2020
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