Individual
VICTORIA LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CONCORD STREET, PAWTUCKET, RI 02880
(800) 679-3609
Mailing address
31 DEVEREUX ST APT 107, PROVIDENCE, RI 02909-5554
(774) 991-0213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP100312
MA
Other
Enumeration date
06/13/2024
Last updated
07/25/2025
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