Individual
MR. PERRY WILLIAM JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
435-124
WI
103T00000X
Psychologist
575-123
WI
1041C0700X
Clinical Social Worker
Primary
575-123
WI
106H00000X
Marriage & Family Therapist
435-124
WI
Other
Enumeration date
09/25/2006
Last updated
07/23/2010
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