Provider Demographics
NPI:1245806983
Name:JOHNSON, ABBEY LEE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:LEE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 FOSTER LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8749
Mailing Address - Country:US
Mailing Address - Phone:919-265-8500
Mailing Address - Fax:
Practice Address - Street 1:6405 DEERVIEW DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-8801
Practice Address - Country:US
Practice Address - Phone:919-695-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist