| Lawrence J Johnson, Ph.d. Llc | |
|
4159 Holland Sylvania Rd Suite 203 Toledo OH 43623-4803 | |
| (419) 535-1901 | |
| (419) 537-1922 |
| Full Name | Lawrence J Johnson, Ph.d. Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4159 Holland Sylvania Rd, Toledo, Ohio |
| Authorized Official Name and Position | Lawrence Joseph Johnson (PSYCHOLOGIST) |
| Authorized Official Contact | 4195351901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence J Johnson, Ph.d. Llc 4159 Holland Sylvania Rd Suite 203 Toledo OH 43623-4803 Ph: (419) 535-1901 | Lawrence J Johnson, Ph.d. Llc 4159 Holland Sylvania Rd Suite 203 Toledo OH 43623-4803 Ph: (419) 535-1901 |
| NPI Number | 1629116082 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629116082 | NPI | - | NPPES |
| 065031 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 3453 (Ohio) | Primary |
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