NPI 1417000282

Theodore Leroy Johnson, AUD

Practitioner Audiologist Lawrenceville, NJ

Practice location

Address: 177 Franklin Corner Rd STE. 1b, Lawrenceville, NJ 08648-2548
Phone: (609) 895-1666
Mailing address: 6 Wilson Way, Delanco, NJ 08075-5257

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 336 (NJ)

Other Audiologist providers in New Jersey →

Registry record

NPI: 1417000282
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2007
Record last updated: 8 Jul 2007

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.