IndividualActive
Mark Johnson, PHD
NPI 1932100518 · Clinical Neuropsychologist · Great Falls, MT
Provider details
- NPI number
- 1932100518
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 198 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
400 15th Ave S Ste 205
Great Falls, MT 59405-4375
Phone: (406) 731-8888
Fax: (406) 731-8876
Approximate (ZIP-level) locationGet directions
Mailing address
400 15th Ave S Ste 205
Great Falls, MT 59405-4375
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.