Tracie Lynn Johnson, CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Marion, MS

NPI

1992960306

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

S3156 (MS)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-07-24

Last updated

2008-07-24