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General NPI Number Information
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NPI Number | 1528396082
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Entity Type | Organization
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Legal Business Name | JOHNSON NEUROPSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 751 HEBRON PKWY STE 310
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City | LEWISVILLE
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State | TX
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Zip | 75057-5054
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Country | US
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Telephone | 469-549-4200
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Fax | 469-549-4201
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Provider Business Mailing Address
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Address Line | 751 HEBRON PKWY STE 310
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City | LEWISVILLE
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State | TX
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Zip | 75057-5054
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Country | US
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Telephone | 469-549-4200
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Fax | 469-549-4201
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST/OWNER
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Name | DR. KIMBERLY C. JOHNSON
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Credential | PSYD
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Telephone | 469-549-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 32578
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License Number State | TX
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