Individual
DR. PATRICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1122 WESTGATE ST, OAK PARK, IL 60301
(708) 228-9492
Mailing address
1038 S CUYLER AVE, OAK PARK, IL 60304-2202
(708) 228-9492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009009
IL
Other
Enumeration date
11/24/2008
Last updated
11/16/2018
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