Individual
TROY SHERMAN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
(952) 496-8573
Mailing address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18780100
—
MN
Enumeration date
07/18/2005
Last updated
07/08/2007
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