Doctor Name: | SUZANNE L JOHNSON |
NPI Number: | 1770633976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC SLP |
License Number: | |
Business Practice Address: | 14637 Stonehaven Ln Homer Glen, IL - 604913483 |
Business Phone Number: | 7084664111 |
Business Fax Number: | 7086455687 |
Mailing Address: | 14637 Stonehaven Ln, HOMER GLEN |
State: | IL |
Postal Code: | 604913483 |
Phone Number: | 7084664111 |
Fax Number: | 7086455687 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |