MRS. Lisa Maureen Johnston, CCC-SLP, LICENSED
NPI #1417200742 in Puyallup, Washington
Provider Information
- NPI Number
- 1417200742
- Entity Type
- Individual
- Name
- MRS. Lisa Maureen Johnston, CCC-SLP, LICENSED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP, LICENSED
- Enumeration Date
- Oct 24, 2012
- Last Updated
- Oct 24, 2012
Practice Location
- Address
- 214 W MAIN
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98371-5328
- Phone
- (253) 841-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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