| Doctor Name: | DR. JUDY HELEN JOHNSON |
| NPI Number: | 1215163290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 146004725 |
| Business Practice Address: | 400 International Pkwy Suite 300 Lake Mary, FL - 327465061 |
| Business Phone Number: | 8008066026 |
| Business Fax Number: | 4078339177 |
| Mailing Address: | 9530 S Cook Ave Unit 201, OAK LAWN |
| State: | IL |
| Postal Code: | 604534222 |
| Phone Number: | 7087100310 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2009 |
| NPI Last Update Date: | 06/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146004725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |