National Provider Identifier
Shannon Marie Johnson
Shannon Marie Johnson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (716) 868-3661.
Profile Overview
- NPI
- 1689815771
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- March 18, 2009
- Last Updated
- May 06, 2019
Practice Location
- 1567 Elmwood Ave
- Apt6
- Rochester, NY 14620-3616
Phone: (716) 868-3661
Mailing Address
- 5143 Garden Path
- Hamburg, NY 14075-3402
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1689815771
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Shannon
- Middle Name
- Marie
- Mailing Street Address
- 5143 Garden Path
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-3402
- Mailing Country
- US
- Mailing Phone
- (716) 868-3661
- Practice Street Address
- 1567 Elmwood Ave
- Practice Address Line 2
- Apt6
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3616
- Practice Country
- US
- Practice Phone
- (716) 868-3661
- Enumeration Date
- March 18, 2009
- Last Updated
- May 06, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Speech-Language Pathologist (235Z00000X)