MS. Tracie Lynn Johnson, M.S., CCC-SLP
NPI #1417398462 in Peoria Heights, Illinois
Provider Information
- NPI Number
- 1417398462
- Entity Type
- Individual
- Name
- MS. Tracie Lynn Johnson, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Jul 7, 2013
- Last Updated
- Jul 7, 2013
Practice Location
- Address
- 5533 N GALENA RD
- City
- Peoria Heights
- State
- Illinois
- ZIP Code
- 61616-4447
- Phone
- (309) 682-5428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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