Johnson, Michael Bruce
Johnson, Michael Bruce is an sole proprietor health care provider with primary practice located at 2406 Sunset Vista Cir , Spicewood TX 78669-2094. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Johnson, Michael Bruce can be contacted via phone (512) 228-2126.Contact Information
Primary practice address
2406 Sunset Vista Cir
Spicewood TX 78669-2094
Phone: (512) 228-2126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY003246 | Georgia |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 13-21P | Arkansas |
| Behavioral Health & Social Service Providers / Exercise & Sports | 103TE1100X | PSY003246 | Georgia |
| Behavioral Health & Social Service Providers / Exercise & Sports | 103TE1100X | 13-21P | Arkansas |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY003246 | Georgia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 13-21P | Arkansas |
Profile Details
| NPI number | 1629215728 |
|---|---|
| LBN Legal business name | Johnson, Michael Bruce |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2009 |
| Last updated | Oct 23rd, 2022 - about 3 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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