Individual
MS. TARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC -SLP
Contact information
Practice address
1 HOSPITAL DR, SPEECH PATHOLOGY: LGH, SAINTS CAMPUS, LOWELL, MA 01852-1311
(978) 934-8236
Mailing address
1 HOSPITAL DR, SPEECH PATHOLOGY: LGH, SAINTS CAMPUS, LOWELL, MA 01852-1311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7688
MA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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