| Doctor Name: | MRS. MOLLY KATHRYN JOHNSON |
| NPI Number: | 1639314156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. SLP |
| License Number: | SZ4442 |
| Business Practice Address: | 7201 Greenboro Dr West Melbourne, FL - 329041698 |
| Business Phone Number: | 3218216736 |
| Business Fax Number: | 3217245289 |
| Mailing Address: | 1046 Elmont St Nw, PALM BAY |
| State: | FL |
| Postal Code: | 329077960 |
| Phone Number: | 3217268802 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2008 |
| NPI Last Update Date: | 12/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SZ4442 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |