Individual provider · Type 1 NPI

Kyle Johnson, PhD, NCSP

Clinical Psychologist · Reston, VA

NPI number 1124508270 Active

Practice location

11307 Sunset Hills Rd Ste B4
Reston, VA 20190-5279

Mailing address

1815 Watch House Cir S
Severn, MD 21144-5015

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810005813 (VA)

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 1124508270

Kyle Johnson, PhD, NCSP's National Provider Identifier is 1124508270, issued on Aug 17, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Reston, VA. The record was last updated on Aug 17, 2018.