Mary Hollis Johnston, Ph.D.
Psychologist in Chicago, IL. Individual provider (NPI-1).
NPI number1790760023
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790760023
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Hollis Johnston
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 071-001874 | IL | Yes |
Other names
- Holly Johnston (Other Name)
Practice location
4820 S Greenwood AveChicago, IL 60615-1914
Phone 773-624-8181 · Fax 773-624-8181
Mailing address
4820 S Greenwood AveChicago, IL 60615-1914
Phone 773-624-8181 · Fax 773-624-8181
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