NPI 1225247653

Wade W Johnston, PSYD

Practitioner Clinical Psychologist Medford, NJ

Practice location

Address: 603 Eugenia Drive, Medford, NJ 08055-2311
Phone: (609) 654-4455
Mailing address: PO Box 1331, Medford, NJ 08055-6331

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 35SI00157000 (NJ)

Other Psychologist providers in New Jersey →

Registry record

NPI: 1225247653
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.