Individual
KASEY COLLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
134 SENECA ST, HORNELL, NY 14843-1324
(607) 324-1303
(607) 324-6418
Mailing address
33 DENISON PKWY W, CORNING, NY 14830-2613
(607) 937-3200
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
030165-01
NY
Other
Enumeration date
11/21/2011
Last updated
12/04/2020
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