JOHN KENNETH LODGE

BEAVERCREEK, OH
NPI1639421449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: OH  7194)
Enumeration Date2012-10-04
Last Update Date2022-07-21
Business Address
Dr. JOHN KENNETH LODGE Psy.D.
3171 BEAVER VU DR STE B
BEAVERCREEK, OH 45434-6368
Phone number: 937-431-8014
Mailing Address
Dr. JOHN KENNETH LODGE Psy.D.
3171 BEAVER VU DR STE B
BEAVERCREEK, OH 45434-6368
Phone number: 937-431-8014