Jan Gary Johnson, PH.D.

Clinical Psychologist · Longview, WA

Individual Active NPI

NPI number 1730285008

Practice location

945 11TH Ave
Suite B
Longview, WA 98632-2555
Phone
(360) 414-8600
Fax
(360) 636-7372

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NPI record

NPI
1730285008
Entity type
Individual (Type 1)
Enumeration date
September 15, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 2721 WA

About Dr. Johnson

Jan Gary Johnson, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 945 11TH Ave, Suite B, Longview, WA 98632-2555. The NPI number 1730285008 was assigned on September 15, 2006 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #2721 (WA) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jan Gary Johnson, PH.D.?

The NPI number is 1730285008.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (360) 414-8600.

Where is Dr. Johnson located?

945 11TH Ave, Suite B, Longview, WA 98632-2555.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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