person
Dr. Derek Jeremy John, PHD
Clinical Psychologist in Wausau, Wisconsin
NPI 1912926601

Derek Jeremy John is a Clinical Psychologist based in Wausau, WI and is specialized in Clinical. Derek Jeremy John practices in Wausau, WI and has the professional credentials of PHD. The NPI Number for Derek Jeremy John is 1912926601 and holds a License No. 2306-057 (Wisconsin).

The current practice location address for Derek Jeremy John is 631 Forest St, Wausau, WI and can be reached out via phone at 715-842-0944 and via fax at 715-845-6477.

Location: 631 Forest St, Wausau, WI, 54403-5524
person
Provider Profile Details
NPI Number
1912926601
Provider Name
Derek Jeremy John
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
631 Forest St, Wausau, WI, 54403-5524
Phone Number
715-842-0944
Fax Number
715-845-6477
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87249 01 WI SECURITY HEALTH INSURANCE
332603 01 MANAGED HEALTH NETWORK
2187795 01 CIGNA BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
631 Forest St
City
State
Zip
54403-5524
Phone Number
715-842-0944
Fax Number
715-845-6477
person
Provider Business Mailing Address Details
Address
631 Forest St
City
State
Zip
54403-5524
Phone Number
715-842-0944
Fax Number
715-845-6477
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
2306-057 (Wisconsin)
Definition
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.
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