| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARY JOHNSON | 1740947126 | 2021-11-20 |
Mary Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740947126. Registration indicates Mary Johnson is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Mary Johnson MS CCC-SP |
| Practice Office Address | 1290 E OCOTILLO RD GILBERT, AZ US |
| Practice Office Telephone | 2182051814 |
| Mailing Address | 1525 W FRYE RD CHANDLER, AZ 852246112 US |
| Business Telephone | 4808127095 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 6486859
AZ |