Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BRUCE JOHNSON, PHD
Active Sole ProprietorDR. MICHAEL BRUCE JOHNSON, PHD is a Psychologist healthcare provider located in SPICEWOOD, Texas. NPI 1629215728 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SPICEWOOD, TX
Registration Details
- NPI Number
- 1629215728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2009 (17.615495470604 yrs)
- Last Updated
- Oct 23, 2022
- Licenses
-
PSY003246 (GA)13-21P (AR)PSY003246 (GA)13-21P (AR)PSY003246 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2406 SUNSET VISTA CIRSPICEWOOD, TX, 786692094Browse TX providers · Browse ZIP 78669
- Phone
- 5122282126
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Exercise & Sports Psychologist
- Additional Specialty
- Exercise & Sports Psychologist
- Additional Specialty
- Geriatric Psychologist
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.