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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TRACIE LYNN JOHNSON, M.S., CCC-SLP

Active Sole Proprietor

MS. TRACIE LYNN JOHNSON, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PEORIA HEIGHTS, Illinois. NPI 1417398462 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · PEORIA HEIGHTS, IL

Registration Details

NPI Number
1417398462
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2013 (13.065410965173 yrs)
Last Updated
Jul 7, 2013
License
146007016 (IL)
Sole Proprietor
Yes

Practice Information

Address
5533 N GALENA RD
PEORIA HEIGHTS, IL, 616164447
Browse IL providers · Browse ZIP 61616
Phone
3096825428
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in PEORIA HEIGHTS, IL

Name Credential NPI
MRS. KELLY JO PAULSEN MS CCC-SLP 1750891529
CARLY ANN CHEATHAM 1386376820
RENEE ELIZABETH LANDIN M.A. CCC-SLP 1801588611
MRS. OLIVIA M BRINKMAN M.A. CCC-SLP 1174353635
SHELBY JOY HENNENFENT M.A. CF-SLP 1952192791
MEGAN NORDSTROM MA 1922899178
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.