| Johnson Neuropsychology | |
|
2680 E Main St Ste 114 Plainfield IN 46168-2827 | |
| (317) 426-8055 | |
| (317) 900-1900 |
| Full Name | Johnson Neuropsychology |
|---|---|
| Speciality | Psychologist |
| Location | 2680 E Main St Ste 114, Plainfield, Indiana |
| Authorized Official Name and Position | Courtney Beth Johnson (OWNER) |
| Authorized Official Contact | 3174268055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Neuropsychology 5995 S County Road 700 E Plainfield IN 46168-9062 Ph: (317) 426-8055 | Johnson Neuropsychology 2680 E Main St Ste 114 Plainfield IN 46168-2827 Ph: (317) 426-8055 |
| NPI Number | 1366059248 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Medicare PECOS PAC ID | 0749600542 |
|---|---|
| Medicare Enrollment ID | O20201016000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366059248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Courtney B Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275973257 PECOS PAC ID: 8729396676 Enrollment ID: I20150928000133 |
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