Doctor Name: | ROBIN L JOHNSTON |
NPI Number: | 1598901415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSP-CCC |
License Number: | S0535 |
Business Practice Address: | 603 S Main St Mount Olive, MS - 391198902 |
Business Phone Number: | 6017973405 |
Business Fax Number: | 6017979842 |
Mailing Address: | Po Box 1107, MOUNT OLIVE |
State: | MS |
Postal Code: | 391191107 |
Phone Number: | 6017973405 |
Fax Number: | 6017979842 |
NPI Enumeration Date: | 12/23/2008 |
NPI Last Update Date: | 12/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S0535 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |