Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dan Johnson PHD Clinical Neuropsychologist, PA

Organization Specialist · NPI 1174661003

Dan Johnson PHD Clinical Neuropsychologist, PA provides Specialist services in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone: (870) 933-5174
Fax: (870) 933-5235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01-10P (AR)

Record details

NPI number1174661003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Johnson — Ceo · (870) 933-5174
NPI enumeratedFebruary 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1201 Fleming Ave, Jonesboro, AR 72401-4311

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