Mr. Kenneth Roger Johnson
Psychologist Health Service Family Psychologist School Psychologist and 3 more
5757 Monclova Rd Suite 16c
Maumee
, Ohio 43537-1863
Mr. Kenneth Roger Johnson
Psychologist Health Service Family Psychologist School Psychologist and 3 more
5757 Monclova Rd Suite 16c
Maumee
, Ohio 43537-1863
(419) 891-0356
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Health Service
- Intellectual & Developmental Disabilities
- School Psychologist
Languages spoken
- English
Location
First Address
- Mr. Kenneth Roger Johnson
- 2539 Shetland Rd
- Toledo, OH
- Zip : 43617-1635
- Fax : (419) 891-0356
- Phone : (419) 841-4108
Second Address
- Mr. Kenneth Roger Johnson
- 5757 Monclova Rd Suite 16c
- Maumee, OH
- Zip : 43537-1863
- Fax : (419) 891-0356
- Phone : (419) 893-0300
Reviews
FAQs
Where did Mr. Kenneth Roger Johnson attend graduate school?
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Is Mr. Kenneth Roger Johnson a sole practitioner?
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Does Mr. Kenneth Roger Johnson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 1023 | OH |
| N | 103T00000X | Psychologist | 1023 | OH |
| N | 103G00000X | Clinical Psychologist | 1023 | OH |
| N | 103TC0700X | Clinical Psychologist | 1023 | OH |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1023 | OH |
| N | 103TF0000X | Family Psychologist | 1023 | OH |
| N | 103TH0100X | Health Service | 1023 | OH |
| N | 103TM1800X | Intellectual & Developmental Disabilities | 1023 | OH |
| N | 103TS0200X | School Psychologist | 1023 | OH |
National Provider Identifier
| NPI | 1336269356 |
|---|---|
| Provider Name | Mr. Kenneth Roger Johnson |
| First Address | Toledo, OH 43617-1635 |
| Second Address | Maumee, OH 43537-1863 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0253854 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.