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Brandon Johnson

Speech-Language Pathologist, in New York, NY. Individual provider (NPI-1).

NPI number1174482467
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1174482467
Entity type
Individual (NPI-1)
Name
Brandon Johnson
Sex
Male
Sole proprietor
No
Enumeration date
Jan 21, 2026
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

575 8th Ave Fl 6
New York, NY 10018-3158

Phone 212-221-3226

Mailing address

673 9th Ave Apt 3s
New York, NY 10036-3621

Phone 315-617-3743

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