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Dr. Clyde Joseph Johnson, PHD
Health Service Psychologist in Sevierville, Tennessee
NPI 1588242416

Clyde Joseph Johnson is a Health Service Psychologist based in Knoxville, TN and is specialized in Health Service. Clyde Joseph Johnson practices in Sevierville, TN and has the professional credentials of PHD. The NPI Number for Clyde Joseph Johnson is 1588242416 and holds a License No. 3637 (Tennessee).

The current practice location address for Clyde Joseph Johnson is 1124 Blanton Dr # 100, Sevierville, TN and can be reached out via phone at 865-286-6950. You can also correspond with Clyde Joseph Johnson through the mailing address at 878 FESTIVAL LN, KNOXVILLE, TN - 37923-2167 (mailing address contact number: 865-406-1600).

Location: 1124 Blanton Dr # 100, Sevierville, TN, 37923-2167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588242416
Provider Name
Clyde Joseph Johnson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1124 Blanton Dr # 100, Sevierville, TN, 37923-2167
Phone Number
865-286-6950
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1124 Blanton Dr # 100
City
Sevierville
State
Tennessee
Zip
37862-5049
Phone Number
865-286-6950
Fax Number
person
Provider Business Mailing Address Details
Address
878 Festival Ln
City
Knoxville
State
Tennessee
Zip
37923-2167
Phone Number
865-406-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
3637 (Tennessee)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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