Search › Illinois › 101YP2500X
Derrick Johnson, PSY.D
NPI 1497896674 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1022 Madison
Oak Park, IL 60302 - Phone
- (708) 802-1303
- Fax
- (708) 386-8602
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois