Organization
CLINICAL NEUROPSYCH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A JOHNSON PH.D. (CLINICAL NEUROPSYCHOLOGIST; OWNER)
(870) 933-5174
Entity
Organization
Contact information
Practice address
1201 FLEMING AVE, JONESBORO, AR 72401-4311
(870) 933-5174
Mailing address
1201 FLEMING AVE, JONESBORO, AR 72401-4311
(870) 933-5174
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
09-61AE
AR
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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