Kerry Johnson

Speech-Language Pathologist · Media, PA

Individual Active NPI

NPI number 1063867869

Practice location

853 Parkridge Drive
Media, PA 19063
Phone
(610) 742-5291

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NPI record

NPI
1063867869
Entity type
Individual (Type 1)
Enumeration date
April 29, 2016
Last updated
April 29, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SL012308 PA
Speech-Language Pathologist 235Z00000X 41YS00793600 NJ

About Kerry Johnson

Kerry Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 853 Parkridge Drive, Media, PA 19063. The NPI number 1063867869 was assigned on April 29, 2016 and the record was last updated on April 29, 2016.

Kerry Johnson lists 2 licenses in the registry: #SL012308 (PA) for Speech-Language Pathologist; #41YS00793600 (NJ) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kerry Johnson?

The NPI number is 1063867869.

What is the phone number of Kerry Johnson?

The phone number listed for the practice location is (610) 742-5291.

Where is Kerry Johnson located?

853 Parkridge Drive, Media, PA 19063.

What is the taxonomy code for Kerry Johnson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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