| Johnson Neuropsychology, Pllc | |
|
1422 W Main St Suite 205 Lewisville TX 75067-3388 | |
| (469) 549-4200 | |
| (469) 549-4201 |
| Full Name | Johnson Neuropsychology, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1422 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Kimberly C Johnson (OWNER) |
| Authorized Official Contact | 4695494200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Neuropsychology, Pllc 1422 W Main St Suite 205 Lewisville TX 75067-3388 Ph: (469) 549-4200 | Johnson Neuropsychology, Pllc 1422 W Main St Suite 205 Lewisville TX 75067-3388 Ph: (469) 549-4200 |
| NPI Number | 1528396082 |
|---|---|
| Provider Enumeration Date | 11/20/2009 |
| Last Update Date | 06/26/2010 |
| Medicare PECOS PAC ID | 2769515873 |
|---|---|
| Medicare Enrollment ID | O20100726000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528396082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 32578 (Texas) | Primary |
| Provider Name | Kimberly C Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962500587 PECOS PAC ID: 5597822338 Enrollment ID: I20090324000253 |
| Provider Name | Deborah A Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295263879 PECOS PAC ID: 7517297393 Enrollment ID: I20200514000447 |
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