Johnson, Keith Phillip
Johnson, Keith Phillip is an individual health care provider with primary practice located at 240 E 38Th St Fl 15 , New York NY 10016-2708. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Johnson, Keith Phillip can be contacted via phone (212) 263-6037.Contact Information
Primary practice address
240 E 38Th St Fl 15
New York NY 10016-2708
Phone: (212) 263-6037
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 025658 | New York |
Behavioral Health & Social Service Providers / Health | 103TH0004X | 025658 | New York |
Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 025658 | New York |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 025658 | New York |
Profile Details
NPI number | 1881382505 |
---|---|
LBN Legal business name | Johnson, Keith Phillip |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2023 |
Last updated | May 13th, 2023 - about last year |
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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