Individual
DR. JOSEPH JOHNSTON HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P
Contact information
Practice address
2785 WHITE BEAR AVE N, STE 403, MAPLEWOOD, MN 55109-1307
(651) 779-0069
(651) 779-0206
Mailing address
2785 WHITE BEAR AVE N, STE 403, MAPLEWOOD, MN 55109-1307
(651) 779-0069
(651) 779-0206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0281
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705847100
—
MN
Enumeration date
01/03/2007
Last updated
05/24/2012
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