Individual
CHAD PARKER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LCP
Contact information
Practice address
1250 E MARSHALL ST, CHILD NEUROLOGY, RICHMOND, VA 23298-5051
(804) 828-0442
(804) 827-0941
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810005309
VA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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