Individual provider · Type 1 NPI

Mark Lamont Johnson

Intellectual & Developmental Disabilities Psychologist · Toledo, OH

NPI number 1609463801 Active

Practice location

5626 Cresthaven Ln
Toledo, OH 43614-1241

Call (419) 810-4375 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800X8702313 (OH)

Intellectual & Developmental Disabilities Psychologist: Definition to come...

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About NPI 1609463801

Mark Lamont Johnson's National Provider Identifier is 1609463801, issued on Dec 22, 2020. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Toledo, OH. The record was last updated on Dec 22, 2020.