IndividualActive
Susan Johnson
NPI 1053679597 · Speech-Language Pathologist · Newark, DE
Provider details
- NPI number
- 1053679597
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- O1-0001241 (DE)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
200 Tyre Ave
Newark, DE 19711-7136
Phone: (302) 454-2047
Fax: (302) 454-5442
Approximate (ZIP-level) locationGet directions
Mailing address
200 Tyre Ave
Newark, DE 19711-7136
Registry dates
- Enumerated
- 2012-05-02
- Last updated
- 2012-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.