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Jessica Anne Johnston, MS, CCC-SLP

Specialist/Technologist, Speech-Language Assistant in Nichols, NY. Individual provider (NPI-1).

NPI number1295062529
StatusActive
Last updated in NPPESNov 6, 2009

Details

NPI
1295062529
Entity type
Individual (NPI-1)
Name
Jessica Anne Johnston
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 6, 2009
Last updated
Nov 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2355S0801X Specialist/Technologist, Speech-Language AssistantSL008036NYYes

Practice location

3129 E River Rd
Nichols, NY 13812-3224

Phone 607-206-6542

Mailing address

3129 E River Rd
Nichols, NY 13812-3224

Phone 607-206-6542

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