| Doctor Name: | WYTONA JOHNSON |
| NPI Number: | 1952350191 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | SLP002031 |
| Business Practice Address: | 620 Powder Springs St Se Suite E Smyrna, GA - 300803416 |
| Business Phone Number: | 7704386928 |
| Business Fax Number: | 6786235387 |
| Mailing Address: | 1750 Powder Springs Rd Sw, Suite 190, Pmb 115 MARIETTA |
| State: | GA |
| Postal Code: | 300644850 |
| Phone Number: | 7704386928 |
| Fax Number: | 7704386931 |
| NPI Enumeration Date: | 05/06/2006 |
| NPI Last Update Date: | 01/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP002031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |