Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Lamont Johnson

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1609463801

Mark Lamont Johnson is an Intellectual & Developmental Disabilities Psychologist in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
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Practice location Address checks out

5626 Cresthaven Ln
Toledo, OH 43614-1241
Phone: (419) 810-4375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X · Licence 8702313 (OH)

Record details

NPI number1609463801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address5626 Cresthaven Ln, Toledo, OH 43614-1241

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