Dr Thomas Davant Johns, PHD is a
Psychologist - Group Psychotherapy based in Imperial, Missouri. Dr Thomas Davant Johns is licensed to practice in Missouri (license number PYR0255) and his current practice location is
2933 Spring Meadow Dr, Imperial, Missouri. He can be reached at his office (for appointments etc.) via phone at
(636) 282-7269.
NPI number for Dr Thomas Davant Johns is 1871790287 and his current mailing address is 2933 Spring Meadow Dr, Imperial, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871790287.
Healthcare Provider's Profile
| Full Name | Dr Thomas Davant Johns |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Group Psychotherapy |
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| Location | 2933 Spring Meadow Dr, Imperial, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871790287
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Thomas Davant Johns such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871790287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | PYR0255 (Missouri) | Primary |
| 103TC1900X | Psychologist - Counseling | PYRO255 (Missouri) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | PYR0255 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Davant Johns is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas Davant Johns, PHD
2933 Spring Meadow Dr,
Imperial, MO 63052-1440
Ph: (636) 282-7269 | Dr Thomas Davant Johns, PHD
2933 Spring Meadow Dr,
Imperial, MO 63052-1440
Ph: (636) 282-7269 |
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