MRS. Lisa Johnson, MS, CCC-SLP

NPI #1548315872 in West Babylon, New York

Provider Information

NPI Number
1548315872
Entity Type
Individual
Name
MRS. Lisa Johnson, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
166 MARCY ST
ZIP Code
11704-3402
Phone
(631) 553-0140

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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