Individual
MRS. ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16 LANCER LN, STAMFORD, CT 06905-1731
(914) 216-8238
Mailing address
16 LANCER LN, STAMFORD, CT 06905-1731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017684-1
NY
Other
Enumeration date
10/22/2008
Last updated
05/19/2023
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