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Individual

WILLIAM CARLYLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3010 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 250-3123
(919) 250-3943
Mailing address
PO BOX 14169, RALEIGH, NC 27620-4169
(919) 250-3123
(919) 250-3943

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1721
NC
103TC0700X
Clinical Psychologist
1721
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000767
NC
Enumeration date
03/12/2007
Last updated
09/11/2025
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