Johnson, Jack Allen

Johnson, Jack Allen is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 501B , Baton Rouge LA 70808-4300. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Jack Allen can be contacted via phone (225) 765-3456.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 501B Baton Rouge LA 70808-4300
Phone: (225) 765-3456
Fax: (225) 765-5547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 990 Louisiana
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 990 Louisiana
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 990 Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 990 Louisiana

Profile Details

NPI number 1295992030
LBN Legal business name Johnson, Jack Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Apr 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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