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
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-3402
- Phone
- (631) 553-0140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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