Most Relevant Information
Provider Data
| NPI Number: | 1003408436 |
| Provider Name: | LISA MARIE JOHNSON MAT, CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 0356 |
Most Important Dates
| Enumeration Date: | 02/08/2021 |
| Last Updated: | 02/08/2021 |
Provider Practice Location
16 MAPLE AVE
GOFFSTOWN
NH
030451907
Practice Location Phone/Fax
| Phone: | 6034973330 |
| Fax: | 6034975624 |
Provider Mailing Location
16 MAPLE AVE
GOFFSTOWN
NH
030451907
Provider Mailing Phone/Fax
| Phone: | 6034973330 |
| Fax: | 6034975624 |