Individual
JOEL I JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6244 POPLAR, MEMPHIS, TN 38119-4732
(901) 216-4354
(888) 519-3386
Mailing address
PO BOX 770211, MEMPHIS, TN 38177-0211
(901) 216-4354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P965
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004638
TN BC/BS PROV#
TN
Enumeration date
09/20/2006
Last updated
01/06/2025
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