Individual
SUSAN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3027 S NEW HAVEN AVE, TULSA, OK 74114-6131
(918) 808-0865
Mailing address
3027 S NEW HAVEN AVE, TULSA, OK 74114-6131
(918) 808-0865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4000
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OK
Enumeration date
08/19/2016
Last updated
08/19/2016
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