Kenneth Roger Johnson in Maumee - School

Kenneth Roger Johnson - NPI 1336269356

Kenneth Roger Johnson is a School in Maumee, Ohio. Kenneth Roger Johnson practices all healthcare services and medical treatments related to School. The NPI Number for Kenneth Roger Johnson is 1336269356. The last update date is 2007-07-08.

Kenneth Roger Johnson's current location address is 5757 Monclova Rd, Maumee, Ohio. You can contact this provider via phone number 4198930300 and fax number 4198910356. The mailing address for Kenneth Roger Johnson is 5757 Monclova Rd, Maumee, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Roger Johnson
Address 5757 Monclova Rd, Maumee, Ohio
Phone Number 4198930300
Fax Number 4198910356
Sole Proprietor Y
Credentials M.ED

NPI Number Detail

NPI Number 1336269356
Provider Enumeration Date 2007-03-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5757 Monclova Rd
City Maumee
State Ohio (OH)
Post Code 435371863
Phone Number 4198930300
Fax Number 4198910356

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 103Ts0200X
Licence No 1023
Definition:
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
253854 OH --

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FAQs about Kenneth Roger Johnson

What is the unique provider identifier assigned to Kenneth Roger Johnson?

The Kenneth Roger Johnson has been issued the NPI (National Provider Identifier) 1336269356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kenneth Roger Johnson?

The Kenneth Roger Johnson is physically situated at 5757 Monclova Rd, in the city of Maumee, state of OH, with the postal code 435371863.

What is Kenneth Roger Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth Roger Johnson is School, and the taxonomy code that classifies this field of practice is 103Ts0200X.

When did the Kenneth Roger Johnson receive its 1336269356?

The Kenneth Roger Johnson was issued its 1336269356 on 2007-03-31, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Kenneth Roger Johnson last refreshed?

The information related to the Kenneth Roger Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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