Individual
DR. RICHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
158 ZILLICOA ST, ASHEVILLE, NC 28801-1079
(828) 254-9494
(828) 250-0890
Mailing address
158 ZILLICOA ST, ASHEVILLE, NC 28801-1079
(828) 254-9494
(828) 250-0890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1307
NC
103TC0700X
Clinical Psychologist
1307
NC
103TC1900X
Counseling Psychologist
1307
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000512
—
NC
Enumeration date
06/08/2006
Last updated
06/17/2013
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