| Thomas W. Johnson, Ed.d., P.c. | |
|
167 Main St Suite 2b Metuchen NJ 08840-2744 | |
| (732) 906-0920 | |
| Not Available |
| Full Name | Thomas W. Johnson, Ed.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 167 Main St, Metuchen, New Jersey |
| Authorized Official Name and Position | Thomas William Johnson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7329060920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W. Johnson, Ed.d., P.c. 167 Main St Suite 2b Metuchen NJ 08840-2744 Ph: (732) 906-0920 | Thomas W. Johnson, Ed.d., P.c. 167 Main St Suite 2b Metuchen NJ 08840-2744 Ph: (732) 906-0920 |
| NPI Number | 1437283850 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830137959 |
|---|---|
| Medicare Enrollment ID | O20050420000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437283850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 03388 (New Jersey) | Primary |
| Provider Name | Thomas W Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063546489 PECOS PAC ID: 6901844026 Enrollment ID: I20050421000009 |
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