| Doctor Name: | MR. PETER ALPHONSUS JOHNSON |
| NPI Number: | 1700870409 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 6801074290 |
| Business Practice Address: | Unit 5210 Box 230 Apo Ae, EAST ANGLIA - 09461-0230 |
| Business Phone Number: | 01638528070 |
| Business Fax Number: | 01638528649 |
| Mailing Address: | Psc 41 Box 3964, APO AE |
| State: | EAST ANGLIA |
| Postal Code: | 09464 |
| Phone Number: | 01638528070 |
| Fax Number: | 01638528649 |
| NPI Enumeration Date: | 09/08/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801074290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |