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NPI Code Detail

MEDICARE: BERIT JOHNSON, PH.D., P.C.

MEDICARE: BERIT JOHNSON, PH.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist32099TX

General Provider Information

NPI Number : 1588686349
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERIT JOHNSON, PH.D., P.C.
Provider Business Mailing Address
First Line : 10300 N CENTRAL EXPY
Second Line : SUITE 202
City : DALLAS
State : TX
Zip : 75231-8600
Country : US
Telephone Number : 214-215-2499
Fax Number : 214-361-2528
Provider Business Practice Location Address
First Line : 10300 N CENTRAL EXPY
Second Line : SUITE 202
City : DALLAS
State : TX
Zip : 75231-8600
Country : US
Telephone Number : 214-215-2499
Fax Number : 214-361-2528
Authorized Official
Title or Position : PRESIDENT
Name : BERIT B. JOHNSON
Credential : PH.D.
Telephone Number : 214-215-2499
Provider Enumeration Date : 07/24/2006
Last Update Date : 11/22/2010

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Directions to “BERIT JOHNSON, PH.D., P.C. ” Practice Location

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