Richard David Johnson, PHD

NPI #1588699847 in Chester, Illinois

Provider Information

NPI Number: 1588699847
Entity Type: Individual
Name: Richard David Johnson, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jul 12, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1315 LEHMEN DR
Address 2: CHESTER MENTAL HEALTH CENTER
City: Chester
State: Illinois
ZIP Code: 62233-2542
Phone: (618) 826-4571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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