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Individual

MS. KATHLEEN ANN JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC, SLP-L

Contact information

Practice address
200 12TH ST, FRANKLIN, PA 16323-1217
(814) 437-3071
Mailing address
192 S SMITH ST, COCHRANTON, PA 16314-8622
(814) 425-2224

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000922L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SL000922L
STATE LICENSE
PA
Enumeration date
03/14/2007
Last updated
07/08/2007
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