# JOHNSTON: SPEECH-LANGUAGE PATHOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013356070
- **Authorized official:** MRS. JESSICA ANNE JOHNSTON MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (607) 206-6542

## Contact information

- **Practice address:** 3129 E RIVER RD, NICHOLS, NY 13812-3224
- **Practice address phone:** (607) 206-6542
- **Mailing address:** 3129 E RIVER RD, NICHOLS, NY 13812-3224
- **Mailing address phone:** (607) 206-6542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 014024 | NY | Yes |

## Other

- **Enumeration date:** 06/22/2013
- **Last updated:** 08/02/2013