DR. Sandra Ellen Johnson Clavelli, PSY.D.
NPI #1003023714 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1003023714
- Entity Type
- Individual
- Name
- DR. Sandra Ellen Johnson Clavelli, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D.
- Enumeration Date
- May 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 420 W. GRAND AVE
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046
- Phone
- (847) 245-6469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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