Dr Wade W Johnston, PSYD | |
603 Eugenia Drive, Medford, NJ 08055-2311 | |
(609) 654-4455 | |
Not Available |
Full Name | Dr Wade W Johnston |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 603 Eugenia Drive, Medford, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225247653 | NPI | - | NPPES |
1728806 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 35SI00157000 (New Jersey) | Primary |
Entity Name | Senior Care Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563 |
Mailing Address | Practice Location Address |
---|---|
Dr Wade W Johnston, PSYD Po Box 1331, Medford, NJ 08055-6331 Ph: (609) 654-4455 | Dr Wade W Johnston, PSYD 603 Eugenia Drive, Medford, NJ 08055-2311 Ph: (609) 654-4455 |
Alison Hoyt, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Jackson Rd Ste D, Medford, NJ 08055 Phone: 609-491-5773 | |
Dr. Nicole Paolillo, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Persimmon Ct, Medford, NJ 08055 Phone: 609-529-8788 | |
Dr. Charles P Waitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 639 Stokes Rd, Suite 203, Medford, NJ 08055 Phone: 609-953-1222 Fax: 609-714-0095 | |
Dr. Vincent Depaul Henry, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 410 Eugenia Dr, Medford, NJ 08055 Phone: 609-714-1340 | |
Dr. Erika E Ryan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd, Ironstone Building A6, Medford, NJ 08055 Phone: 609-654-6995 | |
Dr. Peter J Klugman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 560 Stokes Rd, Suite 10c, Medford, NJ 08055 Phone: 609-654-8640 |