Lisa Johnson
NPI #1922302157 in Wading River, New York
Provider Information
- NPI Number
- 1922302157
- Entity Type
- Individual
- Name
- Lisa Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 3, 2011
- Last Updated
- Jan 3, 2011
Practice Location
- Address
- 92 BAYBERRY RD
- City
- Wading River
- State
- New York
- ZIP Code
- 11792-1801
- Phone
- (631) 929-0229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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