Individual provider · Type 1 NPI
Glen Lee Johnson, PhD
Clinical Psychologist · Traverse City, MI
Practice location
5123 N Royal Dr
Traverse City, MI 49684-9201
Fax (231) 935-0941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 6301006001 (MI) |
| Clinical Psychologist | 103TC0700X | PY7155 (FL) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1992758353
Glen Lee Johnson, PhD's National Provider Identifier is 1992758353, issued on May 18, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Traverse City, MI. The record was last updated on Jul 8, 2007.