Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Johnson, MACCC/SLP/L

Individual provider Speech-Language Pathologist · NPI 1558875799

Lisa M Johnson, MACCC/SLP/L is a Speech-Language Pathologist in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

3520 Kishwaukee St
Rockford, IL 61109-2005
Phone: (815) 229-2870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.004910 (IL)

Record details

NPI number1558875799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC/SLP/L
Sole proprietorYes
NPI enumeratedNovember 27, 2017
Last updated in NPPESNovember 27, 2017

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