NPI 1003023714

Sandra Ellen Johnson Clavelli, PSYD

Practitioner Clinical Psychologist Lake Villa, IL

Practice location

Address: 420 W. Grand Ave, Lake Villa, IL 60046
Phone: (847) 245-6469
Mailing address: 2699 Hobson Rd APT 6, Woodridge, IL 60517-1550

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 71007250 (IL)

Other Psychologist providers in Illinois →

Registry record

NPI: 1003023714
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.