Individual
DR. JOHN GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 SAINT LO DR, PEABODY, MA 01960-3723
(978) 535-2370
Mailing address
1 SAINT LO DR, PEABODY, MA 01960-3723
(978) 535-2370
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1731
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500810
—
MA
Enumeration date
07/25/2006
Last updated
08/07/2007
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