Individual
OLIVIA CAPISTRANO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 809-4554
Mailing address
8727 HONEYGO BLVD, PERRY HALL, MD 21128-9687
(443) 809-5065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10737
MD
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/22/2022
Last updated
10/14/2024
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