Dr Sandra K Johnston, PHD, LP is a
Psychologist based in Oshkosh, Wisconsin. Dr Sandra K Johnston is licensed to practice in Wisconsin (license number 3184-57) and her current practice location is
120 Wyldewood Dr, #b202, Oshkosh, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 479-8178.
NPI number for Dr Sandra K Johnston is 1811299126 and her current mailing address is 120 Wyldewood Dr, #b202, Oshkosh, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811299126.
Healthcare Provider's Profile
| Full Name | Dr Sandra K Johnston |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 120 Wyldewood Dr, Oshkosh, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811299126
- Provider Enumeration Date: 11/19/2010
- Last Update Date: 09/02/2014
Medical Identifiers
Medical identifiers for Dr Sandra K Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811299126 | NPI | - | NPPES |
| 100015347 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 4407-125 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15657-131 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 3184-57 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandra K Johnston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sandra K Johnston, PHD, LP
120 Wyldewood Dr, #b202,
Oshkosh, WI 54904-8631
Ph: (920) 479-8178 | Dr Sandra K Johnston, PHD, LP
120 Wyldewood Dr, #b202,
Oshkosh, WI 54904-8631
Ph: (920) 479-8178 |
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