Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kailey Breanne Johnston, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902752207

Kailey Breanne Johnston, MACCC-SLP is a Qualified Speech Language Pathologist in Clinton Township, Michigan. Graduated from Wayne State University School of Medicine in 2025, 1 year ago. Practices with Crawl Walk Jump Run Therapy Clinic LLC, a 13-clinician group. Licensed in Michigan.

Years since qualifying
1
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2026
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Practice location Address checks out

42804 Garfield Rd
Clinton Township, MI 48038-1656
Phone: (586) 323-2957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14546363 (MI)

Record details

NPI number1902752207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Crawl Walk Jump Run Therapy Clinic Llc — 13 clinicians
Accepts Medicare assignment Not indicated

Other providers in Clinton Township