Dr Jean Elizabeth Johnson, PSYD is a
Psychologist - Intellectual & Developmental Disabilities based in Eagan, Minnesota. Dr Jean Elizabeth Johnson is licensed to practice in Minnesota (license number LP4356) and her current practice location is
1301 Corporate Center Dr, Suite 116, Eagan, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 905-1814.
NPI number for Dr Jean Elizabeth Johnson is 1285837948 and her current mailing address is 8362 Tamarack Vlg, Suite 119, Box 172, Woodbury, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285837948.
Healthcare Provider's Profile
| Full Name | Dr Jean Elizabeth Johnson |
|---|
| Gender | Female |
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| Speciality | Psychologist - Intellectual & Developmental Disabilities |
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| Location | 1301 Corporate Center Dr, Eagan, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285837948
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jean Elizabeth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285837948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LP4356 (Minnesota) | Primary |
| 103T00000X | Psychologist | LP4356 (Minnesota) | Primary |
| 103TA0700X | Psychologist - Adult Development & Aging | LP4356 (Minnesota) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | LP4356 (Minnesota) | Primary |
| 103TC0700X | Psychologist - Clinical | LP4356 (Minnesota) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | LP4356 (Minnesota) | Primary |
| 103TF0000X | Psychologist - Family | LP4356 (Minnesota) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | LP4356 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jean Elizabeth Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jean Elizabeth Johnson, PSYD
8362 Tamarack Vlg, Suite 119, Box 172,
Woodbury, MN 55125-3392
Ph: (651) 402-6209 | Dr Jean Elizabeth Johnson, PSYD
1301 Corporate Center Dr, Suite 116,
Eagan, MN 55121-1298
Ph: (651) 905-1814 |
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