IndividualActive
Alexander Johnson, M.S CCC-SLP
NPI 1245951623 · Speech-Language Pathologist · Grand Rapids, MI
Provider details
- NPI number
- 1245951623
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S CCC-SLP
- Sex
- Male
- Sole proprietor
- No
- License
- 14404401 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
200 Jefferson Ave Se
Grand Rapids, MI 49503-4502
Phone: (616) 685-5000
Approximate (ZIP-level) locationGet directions
Mailing address
2547 Lenwood Ln Ne
Grand Rapids, MI 49525-3905
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.