Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersLYNDA GAYLE JOHNSON PHD
Clinical Neuropsychologist
Concord, North Carolina
Provider NPI: 1942280664
Provider Information:LYNDA GAYLE JOHNSON PHD
Gender: F
Sole Proprietor
Practice Location:
380 COPPERFIELD BLVD NE CONCORD, NC 28025 US
Tel: 704-403-1800 Fax: 704-403-1836
Business Mailing Address:
380 COPPERFIELD BLVD NE CONCORD, NC 28025 US
Tel: 704-403-1800 Fax: 704-403-1836
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NC | 1480 |
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | NC | 1480 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 6001028 | NC | 05 | |
| BCBS | 0387X | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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