Organization
JOHNSON & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A JOHNSON PH.D. (OWNER)
(734) 453-3799
Entity
Organization
Contact information
Practice address
48685 BEAVER CREEK DR, PLYMOUTH, MI 48170-3382
(734) 453-3799
(866) 275-9190
Mailing address
48685 BEAVER CREEK DR, PLYMOUTH, MI 48170-3382
(734) 453-3799
(866) 275-9190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301000908
MI
106H00000X
Marriage & Family Therapist
4101000434
MI
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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