Provider Demographics
NPI:1043013899
Name:PHILIP B. JOHNSON, M.S., P.C.
Entity type:Organization
Organization Name:PHILIP B. JOHNSON, M.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:BIESINGER
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:385-888-2284
Mailing Address - Street 1:3670 QUINCY AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1981
Mailing Address - Country:US
Mailing Address - Phone:385-888-2284
Mailing Address - Fax:801-621-1322
Practice Address - Street 1:3670 QUINCY AVE STE 103
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1981
Practice Address - Country:US
Practice Address - Phone:385-888-2284
Practice Address - Fax:801-621-1322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty