Individual
DR. BENJAMIN DAWSEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(704) 865-3525
(704) 865-3520
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0020
(704) 865-3525
(704) 865-3520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2200253
CIGNA
NC
05
—
6000537
—
NC
01
—
E4168-B0775
MEDCOST
NC
Enumeration date
09/26/2005
Last updated
04/05/2022
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