Stacy Johnson, M,S., CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Pasadena, CA

NPI

1619273463

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

18545 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-01-26

Last updated

2011-01-26