NPI 1063129922
Sade Johnson
Practice location
- Address
- 14600 Detroit Ave APT 610, Lakewood, OH 44107-4225
- Phone
- (678) 708-7205
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063129922
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Oct 2022
- Record last updated
- 28 Feb 2023
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.