NPI 1003408121
Josie Lyn Johnson, SLP
Practice location
- Address
- 5250 Heritage Pkwy, Fort Wayne, IN 46835-1061
- Phone
- (260) 209-6279
- Mailing address
- 3003 Grandview Dr, Fort Wayne, IN 46804-2821
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1003408121
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Feb 2021
- Record last updated
- 10 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.