MEDICARE: MRS. SARAH E JOHNSTON M.A., CCC-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
1	235Z00000X	Speech-Language Pathologist	101391	TX

General Provider Information

NPI Number	:	1942443783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH E JOHNSTON M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	3802 GARDEN LAKE DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1812
Country	:	US
Telephone Number	:	281-348-2369
Fax Number	:

Provider Business Practice Location Address
First Line	:	3802 GARDEN LAKE DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1812
Country	:	US
Telephone Number	:	281-348-2369
Fax Number	:

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

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	04/09/2009

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Directions to “ MRS. SARAH E JOHNSTON M.A., CCC-SLP” Practice Location

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