Dr Clyde Joseph Johnson, PHD is a
Psychologist - Health Service based in Sevierville, Tennessee. Dr Clyde Joseph Johnson is licensed to practice in Tennessee (license number 3637) and his current practice location is
1124 Blanton Dr # 100, Sevierville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(865) 286-6950.
NPI number for Dr Clyde Joseph Johnson is 1588242416 and his current mailing address is 878 Festival Ln, Knoxville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588242416.
Healthcare Provider's Profile
| Full Name | Dr Clyde Joseph Johnson |
|---|
| Gender | Male |
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| Speciality | Psychologist - Health Service |
|---|
| Location | 1124 Blanton Dr # 100, Sevierville, Tennessee |
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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: 1588242416
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 03/31/2021
Medical Identifiers
Medical identifiers for Dr Clyde Joseph Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588242416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TH0100X | Psychologist - Health Service | 3637 (Tennessee) | 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 Clyde Joseph Johnson 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 Clyde Joseph Johnson, PHD
878 Festival Ln,
Knoxville, TN 37923-2167
Ph: (865) 406-1600 | Dr Clyde Joseph Johnson, PHD
1124 Blanton Dr # 100,
Sevierville, TN 37862-5049
Ph: (865) 286-6950 |
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