Individual
DR. KENNETH LORENZO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PH.D., MLP
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
7605 W 7 MILE RD, DETROIT, MI 48221-2163
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361001548
MI
Other
Enumeration date
11/23/2011
Last updated
11/06/2024
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