Individual
DR. MARIE ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1010 JORIE BOULEVARD, SUITE 246, OAK BROOK, IL 60523-1234
(630) 415-3455
(630) 469-0536
Mailing address
22W245 HACKBERRY DR, GLEN ELLYN, IL 60137-7348
(630) 469-0162
(630) 469-0536
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006872
IL
103TC0700X
Clinical Psychologist
20041999A
IN
Other
Enumeration date
08/05/2006
Last updated
01/19/2010
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