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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK ALLEN JOHNSON JR., PH.D.

Active

DR. JACK ALLEN JOHNSON JR., PH.D. is a Clinical Psychologist healthcare provider located in BATON ROUGE, Louisiana. NPI 1295992030 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · BATON ROUGE, LA

Registration Details

NPI Number
1295992030
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2008 (18.251864310792 yrs)
Last Updated
Apr 20, 2022
Licenses
990 (LA)
990 (LA)
990 (LA)
990 (LA)

Practice Information

Address
7777 HENNESSY BLVD STE 501B
BATON ROUGE, LA, 708084300
Browse LA providers · Browse ZIP 70808
Phone
2257653456
Fax
2257655547
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in BATON ROUGE, LA

Name Credential NPI
DR. MARYELIZABETH FORMAN LEBOEUF PH.D. 1750384103
DR. GLENN N JONES PH.D. 1336138304
DR. CURTIS VINCENT 1841269974
FRED CHARLES FREY PH.D. 1497716732
PAULA J VARNADO-SULLIVAN PH.D 1003877374
DR. ALYSON POWELL MCCAIN PHD. 1043271307
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.