Johnson, Michael Anthony

Johnson, Michael Anthony is an individual health care provider with primary practice located at 6208 N College Ave , Indianapolis IN 46220-1927. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Michael Anthony can be contacted via phone (317) 251-9777.

Contact Information

Primary practice address
6208 N College Ave Indianapolis IN 46220-1927
Phone: (317) 251-9777
Fax: (317) 251-9798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 20042500A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042500A Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20042500A Indiana

Profile Details

NPI number 1316244627
LBN Legal business name Johnson, Michael Anthony
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2011
Last updated Sep 14th, 2016 - about 9 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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