Individual
KAREN ANN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
11731 MOUNT OVERLOOK AVE, CLEVELAND, OH 44120-1025
(216) 795-8094
Mailing address
11731 MOUNT OVERLOOK AVE, CLEVELAND, OH 44120-1025
(216) 795-8094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3016
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP-3016
STATE LICENSE TO PRACTICE SPEECH/LANGUAGE PATHOLOGY
OH
Enumeration date
02/24/2014
Last updated
02/24/2014
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