Individual
CHRISTINE JOHNSON-LISCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
15 FOX HILL RD, NAHANT, MA 01908-1109
(978) 790-5578
Mailing address
15 FOX HILL RD, NAHANT, MA 01908-1109
(978) 790-5578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000723
—
MA
Enumeration date
07/27/2014
Last updated
07/27/2014
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