Individual provider · Type 1 NPI

Sandra Ellen Johnson Clavelli, PSY.D.

Clinical Psychologist · Lake Villa, IL

NPI number 1003023714 Active

Practice location

420 W. Grand Ave
Lake Villa, IL 60046

Mailing address

2699 Hobson Rd Apt 6
Woodridge, IL 60517-1550

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X71007250 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1003023714

Sandra Ellen Johnson Clavelli, PSY.D.'s National Provider Identifier is 1003023714, issued on May 16, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Villa, IL. The record was last updated on Jul 8, 2007.