DR. Tracy L. Johnson, ED.D. CCC-SLP
NPI #1134322324 in West Columbia, South Carolina
Provider Information
- NPI Number
- 1134322324
- Entity Type
- Individual
- Name
- DR. Tracy L. Johnson, ED.D. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- ED.D. CCC-SLP
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2700 FEATHER RUN TRL
- Address 2
- APT. E20
- City
- West Columbia
- State
- South Carolina
- ZIP Code
- 29169-4966
- Phone
- (803) 926-3699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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