Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN JOHNSON
ActiveGLENN JOHNSON is a Counseling Psychologist healthcare provider located in SHELBYVILLE, Tennessee. NPI 1710391719 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · SHELBYVILLE, TN
Registration Details
- NPI Number
- 1710391719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2014 (12.19561462766 yrs)
- Last Updated
- Jun 17, 2014
- License
-
PE0000001718 (TN)
Practice Information
- Address
-
118 MAUPIN CIRSHELBYVILLE, TN, 371603781Browse TN providers · Browse ZIP 37160
- Phone
- 9316807576
- Fax
- 9315364346
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.