Individual
ROBIN L JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP-CCC
Contact information
Practice address
603 S MAIN ST, MOUNT OLIVE, MS 39119-8902
(601) 797-3405
(601) 797-9842
Mailing address
PO BOX 1107, MOUNT OLIVE, MS 39119-1107
(601) 797-3405
(601) 797-9842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0535
MS
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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