Johnson, Mark J

Johnson, Mark J is an individual health care provider with primary practice located at 205 S Front St 5Th Floor Bma, Harrisburg PA 17104-1619. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Johnson, Mark J can be contacted via phone (717) 231-8360.

Contact Information

Primary practice address
205 S Front St 5Th Floor Bma Harrisburg PA 17104-1619
Fax: (717) 231-8358
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS015349 Pennsylvania

Profile Details

NPI number 1073902466
LBN Legal business name Johnson, Mark J
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 19th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073902466 NPPES
Pennsylvania MEDICAID 103002852

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