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Individual

DR. JOHN KENNETH LODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1800 ZOLLINGER RD, COLUMBUS, OH 43221-2849
(614) 293-2920
(614) 293-5167
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2920
(614) 293-5167

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7194
OH

Other

Enumeration date
10/04/2012
Last updated
03/25/2025
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