Individual
MS. KATIE LANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
500 DOWNS LOOP, CLEMSON, SC 29631-2035
(864) 654-1155
Mailing address
230 ROPER MOUNTAIN ROAD EXT APT 925J, GREENVILLE, SC 29615-6919
(540) 797-2544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007043
VA
235Z00000X
Speech-Language Pathologist
Primary
6179
SC
Other
Enumeration date
01/08/2017
Last updated
05/15/2024
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