Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN LEE JOHNSON, PH.D.
Active Sole ProprietorDR. GLEN LEE JOHNSON, PH.D. is a Clinical Psychologist healthcare provider located in TRAVERSE CITY, Michigan. NPI 1992758353 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1992758353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.057914856436 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
6301006001 (MI)PY7155 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5123 N ROYAL DRTRAVERSE CITY, MI, 496849201Browse MI providers · Browse ZIP 49684
- Phone
- 2319297358
- Fax
- 2319350941
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| PETER RUSSELL FOSTER-FISHMAN | PSY.D. | 1609820877 |
| DR. DANIELLE J. BEAUVAIS | PSY.D. | 1346264603 |
| LYNN MCANDREWS | PHD | 1073600060 |
| DR. MARK MCKELVY GARNER | PH.D. | 1558438838 |
| DR. JENNIFER J. SOWLE | PHD | 1245307370 |
| MRS. SHANNON KRISTI OLSHOVE | M.S., L.L.P. | 1912061359 |
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.