Dr. Wade W Johnston, PSYD
Psychologist, Clinical in Medford, New Jersey
1225247653- Practice location
- 603 Eugenia Drive, Medford, NJ 08055-2311
- Phone
- 609-654-4455
- Fax
- —
- Last updated
- July 8, 2007
Wade W Johnston is a Psychologist, Clinical based in Medford, NJ. Wade W Johnston practices in Medford, NJ and has the professional credentials of PSYD. The NPI Number for Wade W Johnston is 1225247653 and holds a License No. 35SI00157000 (NJ). The current practice location address for Wade W Johnston is 603 Eugenia Drive, Medford, NJ 08055-2311 and can be reached out via phone at 609-654-4455.
Provider Profile Details
- NPI Number
- 1225247653
- Provider Name
- Wade W Johnston
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 603 Eugenia Drive, Medford, NJ 08055-2311
- Phone Number
- 609-654-4455
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 22, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 603 Eugenia Drive
Medford, NJ 08055-2311 - City
- Medford
- State
- New Jersey
- Zip
- 08055-2311
- Phone Number
- 609-654-4455
Provider Business Mailing Address Details
- Address
- Po Box 1331
Medford, NJ 08055-6331 - City
- Medford
- State
- NJ
- Zip
- 08055-6331
- Phone Number
- 609-654-4455
License Information
- License Number
- 35SI00157000
- License State
- NJ
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Wade W Johnston, PSYD?
The NPI number of Dr. Wade W Johnston, PSYD is 1225247653. It was assigned on May 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Wade W Johnston, PSYD?
Dr. Wade W Johnston, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00157000.
Where does Dr. Wade W Johnston, PSYD practice?
The practice location is 603 Eugenia Drive, Medford, NJ 08055-2311. The office can be reached at 609-654-4455 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225247653 directly on the NPPES registry website.