Individual
DR. CASSANDRA PETERS-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CCC-SLP
Contact information
Practice address
10607 GREAT ARBOR DR, SUITE B, POTOMAC, MD 20854-4220
(301) 613-1986
(301) 765-9558
Mailing address
10607 GREAT ARBOR DR, SUITE B, POTOMAC, MD 20854-4220
(301) 613-1986
(301) 765-9558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000299
DC
235Z00000X
Speech-Language Pathologist
00685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000299
DC HEALTH & REGULATION LICENSING ADMINISTRATION BOARD OF AUD & SPEECH-LANG PATH
DC
01
—
00172254
AMERICAN SPEECH-LANGUAGE-HEARING ASSOC
MD
01
—
00685
BOARD OF EXAMINERS FOR AUDS, HADS, AND SLPS
MD
Enumeration date
01/12/2015
Last updated
01/12/2015
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