| Doctor Name: | MS. MARIA TERESA JOHNSON |
| NPI Number: | 1720287196 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MACCCSLP |
| License Number: | SP12441 |
| Business Practice Address: | 6350 Laurel Canyon Blvd #257 North Hollywood, CA - 916064701 |
| Business Phone Number: | 8184378766 |
| Business Fax Number: | 8186883191 |
| Mailing Address: | 6153 Carpenter Avenue, NORTH HOLLYWOOD |
| State: | CA |
| Postal Code: | 916064701 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP12441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |