Individual
DR. ROBERT WILLIAM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 E 5TH ST, MAIL STATION 300, FULTON, MO 65251-1753
(573) 592-2663
Mailing address
600 E 5TH ST, MAIL STATION 300, FULTON, MO 65251-1753
(573) 592-2663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2012001838
MO
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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