Individual
MARY KATHERINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2 MOON ISLAND RD, QUINCY, MA 02171
(781) 864-9049
Mailing address
60 PHEASANT HILL RD, SOUTH WEYMOUTH, MA 02190
(781) 864-9049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77343-SP-SL
MA
Other
Enumeration date
09/02/2018
Last updated
05/06/2021
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