WILLARD JOHNSON PHD LP NPI 1922211572

NPI Information

NPI: 1922211572
Provider Name: WILLARD JOHNSON, PHD, LP
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Individual
Address: 1404 HIGHWAY 71
INTERNATIONAL FALLS, MN
ZIP 56649
Phone: (218) 283-3406

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NPI Details

Willard Johnson, PHD, LP is a clinical psychologist in International Falls, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Willard Johnson, PHD, LP NPI is 1922211572. 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:

1404 HIGHWAY 71
INTERNATIONAL FALLS, MN
ZIP 56649-154
Phone: (218) 283-3406

The enumeration date for this NPI number is 5/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	LP7301	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	680000919 680006236	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
2	1011397	OTHER	MINNESOTA	PREFERRED ONE
3	3H582JO	OTHER	MINNESOTA	BCBS OF MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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