Individual
CURT L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
4801 VETERANS DR, ST CLOUD VA MEDICAL CENTER, SAINT CLOUD, MN 56303-2015
(218) 839-4785
(218) 829-9555
Mailing address
4801 VETERANS DR, ST CLOUD VA MEDICAL CENTER, SAINT CLOUD, MN 56303-2015
(218) 839-4785
(218) 829-9555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1517
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6101305
MEDICA
MN
01
—
62G70JO
BCBS
MN
05
—
633252800
—
MN
01
—
850261
ARAZ
MN
Enumeration date
08/09/2006
Last updated
01/06/2010
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