| Steven P. Johnson, Phd, Llc | |
|
3405 N Kennicott Ave Suite B Arlington Heights IL 60004-1470 | |
| (847) 508-2926 | |
| Not Available |
| Full Name | Steven P. Johnson, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3405 N Kennicott Ave, Arlington Heights, Illinois |
| Authorized Official Name and Position | Steven P. Johnson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8475082926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven P. Johnson, Phd, Llc 3405 N Kennicott Ave Suite B Arlington Heights IL 60004-1470 Ph: (847) 508-2926 | Steven P. Johnson, Phd, Llc 3405 N Kennicott Ave Suite B Arlington Heights IL 60004-1470 Ph: (847) 508-2926 |
| NPI Number | 1760762389 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 08/26/2011 |
| Medicare PECOS PAC ID | 4385816495 |
|---|---|
| Medicare Enrollment ID | O20111014000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760762389 | NPI | - | NPPES |
| 1194724393 | Other | IL | PERSONAL MPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-005462 (Illinois) | Primary |
| Provider Name | Steven P Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194724393 PECOS PAC ID: 2668468307 Enrollment ID: I20040420001616 |
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