Individual
MR. MARTIN DANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 BEAVER VALLEY RD, ASHEVILLE, NC 28804-1802
(828) 254-4032
(828) 254-4032
Mailing address
23 BEAVER VALLEY RD, ASHEVILLE, NC 28804-1802
(828) 254-4032
(828) 254-4032
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409307
—
NC
Enumeration date
02/13/2007
Last updated
07/09/2007
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