Clavelli, Sandra Ellen Johnson

Clavelli, Sandra Ellen Johnson is an sole proprietor health care provider with primary practice located at 420 W. Grand Ave , Lake Villa IL 60046. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clavelli, Sandra Ellen Johnson can be contacted via phone (847) 245-6469.

Contact Information

Primary practice address
420 W. Grand Ave Lake Villa IL 60046
Phone: (847) 245-6469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 71007250 Illinois

Profile Details

NPI number 1003023714
LBN Legal business name Clavelli, Sandra Ellen Johnson
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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