Kenneth Roger Johnson in Maumee - Clinical Child & Adolescent
Kenneth Roger Johnson - NPI 1336269356
Kenneth Roger Johnson is a Clinical Child & Adolescent in Maumee, Ohio. Kenneth Roger Johnson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. 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 | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1023 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253854 | OH | -- |
Post Comment/ Review Below
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 Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
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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