Individual
KATIE JOHANNING-GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 355-7500
(614) 355-7533
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.07816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
09/02/2016
Last updated
05/24/2022
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