National Provider Identifier
Lisa R. Johnson, CCC-SLP
Lisa R. Johnson, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canandaigua, NY and a listed phone number of (585) 259-5316.
Profile Overview
- NPI
- 1255645818
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 05, 2010
- Last Updated
- August 05, 2010
Practice Location
- 4563 Ridge RD
- Canandaigua, NY 14424-9600
Phone: (585) 259-5316
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1255645818
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Lisa
- Middle Name
- R.
- Credential
- CCC-SLP
- Mailing Street Address
- 4563 Ridge RD
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-9600
- Mailing Country
- US
- Mailing Phone
- (585) 259-5316
- Mailing Fax
- (585) 394-7547
- Practice Street Address
- 4563 Ridge RD
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9600
- Practice Country
- US
- Practice Phone
- (585) 259-5316
- Practice Fax
- (585) 394-7547
- Enumeration Date
- August 05, 2010
- Last Updated
- August 05, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)