DR. Clifford Alan Johannsen, PH.D.

NPI #1962627901 in Salem, Oregon

Provider Information

NPI Number: 1962627901
Entity Type: Individual
Name: DR. Clifford Alan Johannsen, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Group Psychotherapy
Credential: PH.D.
Enumeration Date: Apr 16, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 635 CHURCH ST NE
City: Salem
State: Oregon
ZIP Code: 97301-2402
Phone: (503) 399-9691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Forensic — Forensic	103TF0200X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X	Primary
Marriage & Family Therapist	106H00000X

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