Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLIFFORD ALAN JOHANNSEN, PH.D.
Active Sole ProprietorDR. CLIFFORD ALAN JOHANNSEN, PH.D. is a Geriatric Psychologist healthcare provider located in SALEM, Oregon. NPI 1962627901 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychologist · SALEM, OR
Registration Details
- NPI Number
- 1962627901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.338631295632 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
0935 (OR)0935 (OR)0935 (OR)0935 (OR)0935 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
635 CHURCH ST NESALEM, OR, 973012402Browse OR providers · Browse ZIP 97301
- Phone
- 5033999691
- Fax
- 5033999401
- Primary Specialty
-
Geriatric Psychologist
103TP2701X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical 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.