National Provider Identifier
Diane Marie Johnson, MS, CCC-SLP
Diane Marie Johnson, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 317-2424.
Profile Overview
- NPI
- 1174863849
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 18, 2013
- Last Updated
- April 12, 2013
Practice Location
- 1000 Elmwood Ave
- Suite 400
- Rochester, NY 14620-3042
Phone: (585) 317-2424
Mailing Address
- 192 Harvington Drive
- Rochester, NY 14617
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1174863849
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Diane
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- MS, CCC-SLP
- Mailing Street Address
- 192 Harvington Drive
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617
- Mailing Country
- US
- Mailing Phone
- (585) 317-2424
- Practice Street Address
- 1000 Elmwood Ave
- Practice Address Line 2
- Suite 400
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3042
- Practice Country
- US
- Practice Phone
- (585) 317-2424
- Enumeration Date
- February 18, 2013
- Last Updated
- April 12, 2013
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Speech-Language Pathologist (235Z00000X)