IndividualActive
Mark Johnson
NPI 1609463801 · Intellectual & Developmental Disabilities Psychologist · Toledo, OH
Provider details
- NPI number
- 1609463801
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8702313 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5626 Cresthaven Ln
Toledo, OH 43614-1241
Phone: (419) 810-4375
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Cresthaven Ln
Toledo, OH 43614-1241
Registry dates
- Enumerated
- 2020-12-22
- Last updated
- 2020-12-22
- Certified
- 2020-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.