Julie A Johnson in Palos Park - Clinical

Julie A Johnson - NPI 1366459521

Julie A Johnson is a Clinical in Palos Park, Illinois. Julie A Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie A Johnson is 1366459521. The last update date is 2007-07-09.

Julie A Johnson's current location address is 13011 S 104th Ave, Palos Park, Illinois. You can contact this provider via phone number 7084483300 and fax number 7084486972. The mailing address for Julie A Johnson is 13011 S 104th Ave, Palos Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Julie A Johnson
Address 13011 S 104th Ave, Palos Park, Illinois
Phone Number 7084483300
Fax Number 7084486972
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1366459521
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 13011 S 104th Ave
City Palos Park
State Illinois (IL)
Post Code 604641506
Phone Number 7084483300
Fax Number 7084486972

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1623882 IL BC/BS GROUP NUMBER

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FAQs about Julie A Johnson

What is the unique provider identifier assigned to Julie A Johnson?

The Julie A Johnson has been issued the NPI (National Provider Identifier) 1366459521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Julie A Johnson is physically located?

The Julie A Johnson is physically situated at the following address: 13011 S 104Th Ave, Palos Park, IL, 604641506.

What is Julie A Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Julie A Johnson is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1366459521 to Julie A Johnson?

The Julie A Johnson received its 1366459521 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.

As of what date was the information regarding Julie A Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Julie A Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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