Johnson, Philip A

Johnson, Philip A is an sole proprietor health care provider with primary practice located at 325 Market St Suite 305-B, Chattanooga TN 37402-1226. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Philip A can be contacted via phone (423) 778-9455.

Contact Information

Primary practice address
325 Market St Suite 305-B Chattanooga TN 37402-1226
Phone: (423) 778-9455
Fax: (423) 267-2146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P - 547 Tennessee
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X P - 547 Tennessee
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X P - 547 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X P - 547 Tennessee
Behavioral Health & Social Service Providers / Health Service 103TH0100X P - 547 Tennessee

Profile Details

NPI number 1174604169
LBN Legal business name Johnson, Philip A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Nov 17th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174604169 NPPES
Tennessee Other 0043707 BCBST PROVIDER NO.

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