Individual
GRACE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
425 WASHINGTON AVE APT 5, SANTA MONICA, CA 90403-3856
(202) 412-7644
Mailing address
425 WASHINGTON AVE, SANTA MONICA, CA 90403-3850
(202) 412-7644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14093500
—
235Z00000X
Speech-Language Pathologist
28767
CA
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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