Organization
CRYSTAL JOHNSON, PSY.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL JOHNSON PSY.D. (CLINICAL PSYCHOLOGIST)
(773) 844-2732
Entity
Organization
Contact information
Practice address
939 W NORTH AVE STE 750, CHICAGO, IL 60642-7142
(773) 844-2732
Mailing address
939 W NORTH AVE STE 750, CHICAGO, IL 60642-7142
(773) 844-2732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009543
IL
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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