Individual
MS. KELLIE SIMPSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5106 W RUNNING BROOK RD, COLUMBIA, MD 21044-1522
(443) 319-5251
(443) 319-5251
Mailing address
5106 W RUNNING BROOK RD, COLUMBIA, MD 21044-1522
(443) 319-5251
(443) 319-5251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04564
MD
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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