Provider Demographics
NPI:1124429410
Name:JOHNSTON, JOSHUA LEE
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:LEE
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 GULF TO BAY BLVD
Mailing Address - Street 2:APT. 8
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-5361
Mailing Address - Country:US
Mailing Address - Phone:727-447-2380
Mailing Address - Fax:
Practice Address - Street 1:1447 GULF TO BAY BLVD
Practice Address - Street 2:APT. 8
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-5361
Practice Address - Country:US
Practice Address - Phone:727-447-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-06
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker