Individual
JOHN THOMAS PARKHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, CHILD PSYCHIATRY DEPT, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261397-00
—
NE
05
—
1740435178
—
WI
01
—
3187-57
LICENSE
WI
05
—
470376606-24
—
NE
05
—
470376606-31
—
NE
Enumeration date
07/23/2012
Last updated
08/12/2014
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