Johnson, Jeremy

Johnson, Jeremy is an sole proprietor health care provider with primary practice located at 3104 Blue Lake Dr , Vestavia AL 35243-2345. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Johnson, Jeremy can be contacted via phone (205) 977-3003.

Contact Information

Primary practice address
3104 Blue Lake Dr Vestavia AL 35243-2345
Phone: (205) 977-3003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1741 Alabama
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1741 Alabama

Profile Details

NPI number 1528374329
LBN Legal business name Johnson, Jeremy
Credentials PSY. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2010
Last updated Mar 14th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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