Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN ANGELA JOHNSON, DT
Active Sole ProprietorGWENDOLYN ANGELA JOHNSON, DT is a Developmental Therapist healthcare provider located in WARRENVILLE, Illinois. NPI 1649482167 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · WARRENVILLE, IL
Registration Details
- NPI Number
- 1649482167
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2007 (19.241213428061 yrs)
- Last Updated
- Feb 26, 2008
- License
-
GM11930903 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29W410 FORESTVIEW DRWARRENVILLE, IL, 60555Browse IL providers · Browse ZIP 60555
- Phone
- 6308634936
- Fax
- 6307919146
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in WARRENVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| JANICE RUMUNDA BYRD | DT | 1467574848 |
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.