Individual
MR. LYNN SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
401 15TH AVE. SOUTH, SUITE 206, GREAT FALLS, MT 59405-4334
(406) 454-1696
(406) 454-0496
Mailing address
401 15TH AVE. SOUTH, SUITE #206, GREAT FALLS, MT 59405-4334
(406) 454-1696
(406) 454-0496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
100
MT
103TC0700X
Clinical Psychologist
Primary
MTPSCYHOLOGIST#100
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05061-1
BLUE CROSS-BLUE SHIELD
MT
05
—
491478
—
MT
Enumeration date
12/13/2006
Last updated
07/30/2009
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