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DR. JUDY WHITE JOHNSON PH.D.

Clinical Neuropsychologist

Little Rock, Arkansas

Provider NPI: 1043270200

Provider Information:
DR. JUDY WHITE JOHNSON PH.D.
Gender: F


Practice Location:
10 OFFICE PARK DR  LITTLE ROCK, AR 72211 US
Tel: 501-224-0416  Fax: 501-224-9208

Business Mailing Address:
10 OFFICE PARK DR  LITTLE ROCK, AR 72211 US
Tel: 501-224-0416  Fax: 501-224-9208

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AR76-23P
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
AR76-23P

Other Provider Identifiers:

IssuerNumberStateType
56224AR02
56224AR04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS AR - Page 1



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