Johanesson, Thomas Ray

Johanesson, Thomas Ray is an individual health care provider with primary practice located at 566 Haddon Ave , Collingswood NJ 08108-1444. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Johanesson, Thomas Ray can be contacted via phone (856) 858-9314.

Contact Information

Primary practice address
566 Haddon Ave Collingswood NJ 08108-1444
Phone: (856) 858-9314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1568219772
LBN Legal business name Johanesson, Thomas Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2024
Last updated May 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers