Kenneth Lorenzo Johnson, MA, PH.D., MLP

Clinical Psychologist · Southgate, MI

Individual Active NPI

NPI number 1225305931

Practice location

13101 Allen Rd
Southgate, MI 48195-2216
Phone
(734) 785-7700

Open in Google Maps

NPI record

NPI
1225305931
Entity type
Individual (Type 1)
Enumeration date
November 23, 2011
Last updated
November 6, 2024
Certified
November 6, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 6361001548 MI

Mailing address

7605 W 7 Mile Rd
Detroit, MI 48221-2163

About Kenneth Johnson

Kenneth Lorenzo Johnson, MA, PH.D., MLP is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 13101 Allen Rd, Southgate, MI 48195-2216. The NPI number 1225305931 was assigned on November 23, 2011 and the record was last updated on November 6, 2024.

Kenneth Johnson lists a license in the registry: #6361001548 (MI) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Lorenzo Johnson, MA, PH.D., MLP?

The NPI number is 1225305931.

What is the phone number of Kenneth Johnson?

The phone number listed for the practice location is (734) 785-7700.

Where is Kenneth Johnson located?

13101 Allen Rd, Southgate, MI 48195-2216.

What is the taxonomy code for Kenneth Johnson?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Psychologist providers in Southgate

All Clinical Psychologist providers in Southgate, MI →