Lisa R. Johnson, CCC-SLP
NPI #1255645818 in Canandaigua, New York
Provider Information
- NPI Number
- 1255645818
- Entity Type
- Individual
- Name
- Lisa R. Johnson, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Aug 5, 2010
- Last Updated
- Aug 5, 2010
Practice Location
- Address
- 4563 RIDGE RD
- City
- Canandaigua
- State
- New York
- ZIP Code
- 14424-9600
- Phone
- (585) 259-5316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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