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NPI Code Detail

MEDICARE: JOHN H. KROGH, PH.D., P.L.L.C.

MEDICARE: JOHN H. KROGH, PH.D., P.L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1811847205
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN H. KROGH, PH.D., P.L.L.C.
Provider Business Mailing Address
First Line : 10631 PROFESSIONAL CIR STE A
Second Line :
City : RENO
State : NV
Zip : 89521-5835
Country : US
Telephone Number : 775-826-6218
Fax Number : 775-826-6271
Provider Business Practice Location Address
First Line : 10631 PROFESSIONAL CIR STE A
Second Line :
City : RENO
State : NV
Zip : 89521-5835
Country : US
Telephone Number : 775-826-6218
Fax Number : 775-826-6271
Authorized Official
Title or Position : OWNER/PSYCHOLOGIST
Name : DR. JOHN H KROGH
Credential : PH.D.
Telephone Number : 775-826-6218
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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