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NPI Code Detail

MEDICARE: EMILY JOHNSTON M.A. CF-SLP

MEDICARE: EMILY JOHNSTON M.A. CF-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistCOND.2018656-SPOH
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1598224164
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JOHNSTON M.A. CF-SLP
Provider Business Mailing Address
First Line : 2416 ASCHINGER BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-4605
Country : US
Telephone Number : 740-501-4378
Fax Number :
Provider Business Practice Location Address
First Line : 5800 FOREST HILLS BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-6916
Country : US
Telephone Number : 614-890-8282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2019
Last Update Date : 03/13/2019

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