Individual
DR. PAUL BURTON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5TH AVE, HINES, IL 60141-5000
(708) 202-2469
(708) 202-7960
Mailing address
2588 YELLOWSTAR ST, WOODRIDGE, IL 60517-1710
(630) 064-6819
(708) 202-7960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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