DEREK JEREMY JOHN

WAUSAU, WI
NPI1912926601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WI  2306-057)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Dr. DEREK JEREMY JOHN PhD
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944
Mailing Address
Dr. DEREK JEREMY JOHN PhD
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944