MR. Kenneth Roger Johnson, M.ED

NPI #1336269356 in Maumee, Ohio

Provider Information

NPI Number: 1336269356
Entity Type: Individual
Name: MR. Kenneth Roger Johnson, M.ED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: M.ED
Enumeration Date: Mar 31, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 5757 MONCLOVA RD
Address 2: SUITE 16C
City: Maumee
State: Ohio
ZIP Code: 43537-1863
Phone: (419) 893-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Family — Family	103TF0000X
Psychologist - Health Service — Health Service	103TH0100X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist	103T00000X
Psychologist - School — School	103TS0200X	Primary

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