Johnson, Kelly Suzanne

Johnson, Kelly Suzanne is an sole proprietor health care provider with primary practice located at 28379 Davis Pkwy Suite 801 Cantera Lakes Offices-Clarus Center, Warrenville IL 60555-3032. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Johnson, Kelly Suzanne can be contacted via phone (630) 355-3321.

Contact Information

Primary practice address
28379 Davis Pkwy Suite 801 Cantera Lakes Offices-Clarus Center Warrenville IL 60555-3032
Phone: (630) 355-3321
Fax: (630) 393-0499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071-005691 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071-005691 Illinois

Profile Details

NPI number 1033254164
LBN Legal business name Johnson, Kelly Suzanne
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 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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