Individual
JESSICA ANNE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3129 E RIVER RD, NICHOLS, NY 13812-3224
(607) 206-6542
Mailing address
3129 E RIVER RD, NICHOLS, NY 13812-3224
(607) 206-6542
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SL008036
NY
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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