Matthew Tyler Johnson, LICSW is a mental health counselor in Eden Prairie, MN with 6 years of experience. Matthew Tyler Johnson, LICSW NPI is 1487227229. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
800 PRAIRIE CENTER DR STE 210
EDEN PRAIRIE, MN
ZIP 55344-306
Phone: (612) 888-0544
The NPI 1487227229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 7/20/2021 and was last updated on 7/20/2021.