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NPI Code Detail

MEDICARE: MS. LISA ANDREA JOHNSTON SLP

MEDICARE: MS. LISA ANDREA JOHNSTON 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 Pathologist101576TX

General Provider Information

NPI Number : 1184897969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ANDREA JOHNSTON SLP
Provider Business Mailing Address
First Line : 8134 GRISSOM CIR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-2830
Country : US
Telephone Number : 210-488-4325
Fax Number :
Provider Business Practice Location Address
First Line : 5900 EVERS RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1606
Country : US
Telephone Number : 210-397-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2008
Last Update Date : 02/27/2022

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Directions to “ MS. LISA ANDREA JOHNSTON SLP” Practice Location

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