NPI 1992960306

Tracie Lynn Johnson, CCCSLP

Practitioner Speech-Language Pathologist Marion, MS

Practice location

Address: 6304 Koosa Dr, Marion, MS 39342-9458
Phone: (205) 317-7757

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence S3156 (MS)

Other Speech-Language Pathologist providers in Mississippi →

Registry record

NPI: 1992960306
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2008
Record last updated: 24 Jul 2008

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.