Doctor Name: | SUSAN D JOHNSON |
NPI Number: | 1013225945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 1109 |
Business Practice Address: | 750 Central Ave Suite C Dover, NH - 038203434 |
Business Phone Number: | 6039263277 |
Business Fax Number: | 6039263271 |
Mailing Address: | 23 Plumer Rd, Unit 26 EPPING |
State: | NH |
Postal Code: | 030421709 |
Phone Number: | 6036798367 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2010 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |