Doctor Name: | MRS. LINDA W JOHNSON |
NPI Number: | 1689983439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 000793 |
Business Practice Address: | 209 Clayton Ave Vestal, NY - 138502458 |
Business Phone Number: | 6077572271 |
Business Fax Number: | 6077572372 |
Mailing Address: | 55 Frederick Dr, APALACHIN |
State: | NY |
Postal Code: | 137324130 |
Phone Number: | 6076254266 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2010 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 000793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |