Individual
DR. KELLY SUZANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
28379 DAVIS PKWY, SUITE 801 CANTERA LAKES OFFICES-CLARUS CENTER, WARRENVILLE, IL 60555-3032
(630) 355-3321
(630) 393-0499
Mailing address
28379 DAVIS PKWY, SUITE 801 CANTERA LAKES OFFICES-CLARUS CENTER, WARRENVILLE, IL 60555-3032
(630) 355-3321
(630) 393-0499
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-005691
IL
103T00000X
Psychologist
071-005691
IL
Other
Enumeration date
02/20/2007
Last updated
09/11/2025
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