Individual
MS. MARY HOLLIS JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4820 S GREENWOOD AVE, CHICAGO, IL 60615-1914
(773) 624-8181
(773) 624-8181
Mailing address
4820 S GREENWOOD AVE, CHICAGO, IL 60615-1914
(773) 624-8181
(773) 624-8181
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
12/09/2005
Last updated
07/08/2007
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