SearchArizona101YA0400X

Merle Johnson, LISAC

NPI 1992896542 · on the registry since 2006

Practice

Address
12033 Agency Rd
Parker, AZ 85344
Phone
(928) 669-3256
Fax
(928) 669-5449
Organisation at this address
Pihc
Dhhs Ihs Phoenix Area
Lucy Charlene Nichols
Dhhs Ihs Phoenix Area
Dhhs Ihs Phoenix Area
Inferred from a shared address, not stated in the registry.
Clinicians at this address
255

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona