Individual
DR. MARTIN KYLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3805 N HIGH ST, SUITE 200, COLUMBUS, OH 43214-3539
(614) 447-3448
Mailing address
PO BOX 2698, SPRINGFIELD, OH 45501-2698
(614) 447-3448
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6458
OH
Other
Enumeration date
10/01/2008
Last updated
05/18/2010
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