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Contact Information

CLARENCE JOHNSON, CCC-SLP
1129 MORGAN ST.
CLEVELAND, MS38732
 Phone: 662-398-7575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for CLARENCE JOHNSON · (Male)

NPI # 1710152178
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 04/28/2008
Last updated 04/28/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # S0851
  • MS Medicaid 0112761
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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