DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SANDRA ELLEN JOHNSON CLAVELLI, PSY.D.

Active Sole Proprietor

DR. SANDRA ELLEN JOHNSON CLAVELLI, PSY.D. is a Clinical Psychologist healthcare provider located in LAKE VILLA, Illinois. NPI 1003023714 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LAKE VILLA, IL

Registration Details

NPI Number
1003023714
Provider Type
Individual
Gender
Female
NPI Issued
May 16, 2007 (19.233407904428 yrs)
Last Updated
Jul 8, 2007
License
71007250 (IL)
Sole Proprietor
Yes

Practice Information

Address
420 W. GRAND AVE
LAKE VILLA, IL, 60046
Browse IL providers · Browse ZIP 60046
Phone
8472456469
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in LAKE VILLA, IL

Name Credential NPI
DR. GEORGE WINSTON LUTZ PH.D. 1790709178
DR. LINDA PAULL PSY.D. 1235279761
DR. STEVEN DOUGLAS KULB PSY.D. 1265568224
DR. LAURA ANN BENTON PSY.D. 1265563845
DR. PATRICIA ANN TAGLIONE PSY. D. 1134247141
DR. SANDRA LEE REINKE VENDEN PSYD 1144414715
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.