Lisa Maureen Johnston, CCC-SLP, Licensed
Speech-Language Pathologist, in Puyallup, WA. Individual provider (NPI-1).
NPI number1417200742
StatusActive
Last updated in NPPESOct 24, 2012
Details
- NPI
- 1417200742
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Maureen Johnston
- Credential
- CCC-SLP, Licensed
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2012
- Last updated
- Oct 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | LL00001257 | WA | Yes |
Other names
- Lisa Maureen Bryan (Former Name)
Practice location
214 W MainPuyallup, WA 98371-5328
Phone 253-841-8700
Mailing address
8419 116th St EPuyallup, WA 98373-4707
Phone 253-845-8537
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All 101 Speech-Language Pathologist providers in Puyallup · All 4,232 providers in Puyallup
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