Amy Marie Johnson, M.A. CCC-SLP
Speech-Language Pathologist, in Mansfield, OH. Individual provider (NPI-1).
NPI number1033423769
StatusActive
Last updated in NPPESAug 5, 2010
Details
- NPI
- 1033423769
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Marie Johnson
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2010
- Last updated
- Aug 5, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP7276 | OH | Yes |
Practice location
255 Hedges StreetSuite A
Mansfield, OH 44902
Phone 419-774-4290 · Fax 419-774-4375
Mailing address
255 Hedges StreetSuite A
Mansfield, OH 44902
Phone 419-774-4290 · Fax 419-774-4375
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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