MARK LAMONT JOHNSON
NPI 1609463801
Psychologist - Intellectual and Developmental Disabilities in Toledo, OH
- Individual
- Male
- Psychologist
- Intellectual and Developmental Disabilit...
About MARK JOHNSON
This page provides the complete NPI Profile along with additional information for Mark Johnson, a provider established in Toledo, Ohio with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1609463801 assigned on December 2020. The practitioner's primary taxonomy code is 103TM1800X with license number 8702313 (OH). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1609463801 Verify this NPI
- Provider Name
- MARK LAMONT JOHNSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5626 CRESTHAVEN LN TOLEDO, OH 43614
- Location Phone
- (419) 810-4375
- Mailing Address
- 5626 CRESTHAVEN LN TOLEDO, OH 43614
- Mailing Phone
- (419) 810-4375
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-22-2020
- Last Update Date
- 12-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 8702313
- License State
- OH
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609463801, enumerated as an "individual" on December 22, 2020.
The provider is located at 5626 CRESTHAVEN LN TOLEDO, OH 43614 and the phone number is (419) 810-4375.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
