Individual
MICHELLE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
934 HERLIHY ST, WAVELAND, MS 39576-2910
(518) 534-1994
Mailing address
934 HERLIHY ST, WAVELAND, MS 39576-2910
(518) 534-1994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2949
MS
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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