Kyle Johnson, PH.D., NCSP

NPI 1124508270 · on the registry since 2018 · sole proprietor

Practice

Address: 11307 Sunset Hills Rd Ste B4
Reston, VA 20190
Phone: (410) 914-7795
Organisation at this address: Three Leaves Psychological Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia