Tracy L. Johnson in West Columbia - Speech-language Pathologist
Tracy L. Johnson - NPI 1134322324
Tracy L. Johnson is a Speech-language Pathologist in West Columbia, South Carolina. Tracy L. Johnson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tracy L. Johnson is 1134322324. The last update date is 2007-07-08.
Tracy L. Johnson's current location address is 2700 Feather Run Trl, West Columbia, South Carolina. You can contact this provider via phone number 8039263699. The mailing address for Tracy L. Johnson is 2700 Feather Run Trl, West Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L. Johnson |
|---|---|
| Address | 2700 Feather Run Trl, West Columbia, South Carolina |
| Phone Number | 8039263699 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D. CCC- |
NPI Number Detail
| NPI Number | 1134322324 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2700 Feather Run Trl |
|---|---|
| City | West Columbia |
| State | South Carolina (SC) |
| Post Code | 291694966 |
| Phone Number | 8039263699 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 3595 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SA0559 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy L. Johnson?
The Tracy L. Johnson has been issued the NPI (National Provider Identifier) 1134322324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Tracy L. Johnson located?
The Tracy L. Johnson is located at 2700 Feather Run Trl, West Columbia, SC 291694966.
What is Tracy L. Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy L. Johnson's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134322324 to Tracy L. Johnson?
The Tracy L. Johnson received its 1134322324 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date were the details related to Tracy L. Johnson most recently updated or revised?
The information pertaining to Tracy L. Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.