MEDICARE: JULIA JOHNSON

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
1	235Z00000X	Speech-Language Pathologist		FL

General Provider Information

NPI Number	:	1285408328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA JOHNSON

Provider Business Mailing Address
First Line	:	1800 ORCHARD DR
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-2459
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 SW 3RD ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6934
Country	:	US
Telephone Number	:	954-224-5350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	04/15/2026

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Directions to “ JULIA JOHNSON ” Practice Location

Language	Start Address	Practice Location

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