Stephanie Marie Johnson PSYD

NPI 1104112002 - Psychologist - 103TC0700X

NPI Details
NPI 1104112002
Gender Female
Enumeration Date 06/20/2011
Last Updated 06/20/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
2419 W HUTCHINSON ST APT 2W
CHICAGO IL, 60618-2824, US
Phone (773) 655-5329
Fax
Business Location
2419 W HUTCHINSON #2W
CHICAGO IL, 60618, US
Phone (773) 655-5329
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071008143
Remove 1104112002 NPI Number
 

According to our database, Dr. Stephanie Marie Johnson PSYD NPI is 1104112002, taxonomy code is 103TC0700X and license number is 071008143, license state is located at Illinois. Stephanie Marie Johnson PSYD physically located at 2419 W Hutchinson St Apt 2w, Chicago IL, 60618-2824. NPI Number Stephanie Marie Johnson PSYD has the Individual type.

Sponsored links

1104112002 NPI number is provided on an as is basis without warranty of any kind. 1104112002 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Marie Johnson PSYD are for informational purposes only.