Stacey Ann Johnson, MHS, CCC-SLP Valid NPI
Individual provider · Speech-Language Pathologist · Independence, MO
- NPI
- 1467656199
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 2007016503 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-06-14
- Last updated
- 2024-07-02
Practice location
5016 S Cedar Crest Ave
Independence, MO 64055-6933
(312) 545-0383