Individual provider · Type 1 NPI

Jerusha Johnson, MS, CCC-SLP

Speech-Language Pathologist · Raleigh, NC

NPI number 1629961966 Active

Practice location

8410 Six Forks Rd Ste 104
Raleigh, NC 27615-3079

Call (336) 541-8167 Map

Fax (336) 294-8091

Mailing address

PO Box 9804
Greensboro, NC 27429-0804

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	30003690 (NC)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1629961966

Jerusha Johnson, MS, CCC-SLP's National Provider Identifier is 1629961966, issued on Jun 3, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Raleigh, NC. The record was last updated on Jun 3, 2025.