| Doctor Name: | CYNTHIA JOHNSON |
| NPI Number: | 1073937496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SI2169 |
| Business Practice Address: | 1535 Cogswell St Rockledge, FL - 329552738 |
| Business Phone Number: | 3216388802 |
| Business Fax Number: | 3216388803 |
| Mailing Address: | 1535 Cogswell St, ROCKLEDGE |
| State: | FL |
| Postal Code: | 329552738 |
| Phone Number: | 3216388802 |
| Fax Number: | 3216388803 |
| NPI Enumeration Date: | 02/05/2014 |
| NPI Last Update Date: | 02/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SI2169 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |