Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dan Johnson PHD Clinical Neuropsychologist, PA

Organization Specialist · NPI 1174661003

Dan Johnson PHD Clinical Neuropsychologist, PA is a Specialist 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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