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NPI Code Detail

MEDICARE: DR. JOSEPH JOHNSON PHD

MEDICARE:  DR. JOSEPH  JOHNSON  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8916-226WI

General Provider Information

NPI Number : 1558203984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH JOHNSON PHD
Provider Business Mailing Address
First Line : 2434 N VEL R PHILLIPS AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-2702
Country : US
Telephone Number : 928-246-4915
Fax Number :
Provider Business Practice Location Address
First Line : 3614 W NORTH AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-1416
Country : US
Telephone Number : 414-346-0267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ DR. JOSEPH JOHNSON PHD” Practice Location

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