Organization
TERRENCE J JOHNSON PH D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE JOSEPH JOHNSON PH D (PRESIDENT)
(989) 723-1120
Entity
Organization
Contact information
Practice address
802 W KING ST, SUITE P., OWOSSO, MI 48867-2100
(989) 723-1120
(989) 729-6506
Mailing address
802 W KING ST, SUITE P., OWOSSO, MI 48867-2100
(989) 723-1120
(989) 729-6506
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002288
MI
103TC0700X
Clinical Psychologist
6301002671
MI
1041C0700X
Clinical Social Worker
6801019150
MI
106H00000X
Marriage & Family Therapist
4101005346
MI
Other
Enumeration date
07/03/2007
Last updated
07/08/2009
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