| Nick Johnson, | |
|
840 Interstate Dr, Grayson, KY 41143-1768 | |
| (606) 474-5151 | |
| (606) 475-3219 |
| Full Name | Nick Johnson |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 840 Interstate Dr, Grayson, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033250980 | NPI | - | NPPES |
| 30610026 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nick Johnson, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Nick Johnson, 840 Interstate Dr, Grayson, KY 41143-1768 Ph: (606) 474-5151 |
Joyce Elaine Saunders, PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 606-474-5151 Fax: 606-475-3219 | |
Mary Kaye Thomas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 606-474-5151 Fax: 606-475-3219 | |
Megan Fennell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 606-474-5151 Fax: 606-475-3219 |