| Terrence J Johnson Ph D Pc | |
|
802 W King St Suite P. Owosso MI 48867-2100 | |
| (989) 723-1120 | |
| (989) 729-6506 |
| Full Name | Terrence J Johnson Ph D Pc |
|---|---|
| Speciality | Psychologist |
| Location | 802 W King St, Owosso, Michigan |
| Authorized Official Name and Position | Terrence Joseph Johnson (PRESIDENT) |
| Authorized Official Contact | 9897231120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrence J Johnson Ph D Pc 802 W King St Suite P. Owosso MI 48867-2100 Ph: (989) 723-1120 | Terrence J Johnson Ph D Pc 802 W King St Suite P. Owosso MI 48867-2100 Ph: (989) 723-1120 |
| NPI Number | 1427256239 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 07/08/2009 |
| Medicare PECOS PAC ID | 1355494816 |
|---|---|
| Medicare Enrollment ID | O20090730000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427256239 | NPI | - | NPPES |
| Provider Name | Terrence J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730202227 PECOS PAC ID: 5991858458 Enrollment ID: I20090730000312 |
| Provider Name | Stacy L Schaufele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497983753 PECOS PAC ID: 7719122563 Enrollment ID: I20130326000495 |
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