Individual
DR. CLYDE JOSEPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1124 BLANTON DR # 100, SEVIERVILLE, TN 37862-5049
(865) 286-6950
Mailing address
878 FESTIVAL LN, KNOXVILLE, TN 37923-2167
(865) 406-1600
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
3637
TN
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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