| Brian R. Johnson, Ph.d. Inc | |
|
250 W. First St. Suite 352 Claremont CA 91711 | |
| (909) 399-0556 | |
| (909) 624-2137 |
| Full Name | Brian R. Johnson, Ph.d. Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 250 W. First St., Claremont, California |
| Authorized Official Name and Position | Brian Russell Johnson (PRESIDENT) |
| Authorized Official Contact | 9093990556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian R. Johnson, Ph.d. Inc P.o. Box 1084 Claremont CA 91711 Ph: (909) 399-0556 | Brian R. Johnson, Ph.d. Inc 250 W. First St. Suite 352 Claremont CA 91711 Ph: (909) 399-0556 |
| NPI Number | 1144313792 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 05/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144313792 | NPI | - | NPPES |
| PSY080060 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY8006 (California) | Primary |
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