Individual
MRS. LISA MAUREEN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, LICENSED
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
8419 116TH ST E, PUYALLUP, WA 98373-4707
(253) 845-8537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001257
WA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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