Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH ROGER JOHNSON, M.ED
Active Sole ProprietorSchool Psychologist · MAUMEE, OH
Registration Details
- NPI Number
- 1336269356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2007 (19.058303883117 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1023 (OH)1023 (OH)1023 (OH)1023 (OH)1023 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5757 MONCLOVA RDSUITE 16CMAUMEE, OH, 435371863Browse OH providers · Browse ZIP 43537
- Phone
- 4198930300
- Fax
- 4198910356
- Primary Specialty
-
School Psychologist
103TS0200X
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Family Psychologist
- Additional Specialty
- Health Service Psychologist
- Additional Specialty
- Organizational & Business Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.