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

Lucille Mary Johnson, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1528101037

Lucille Mary Johnson, MSCCCSLP is a Speech-Language Pathologist in Babylon, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

41 Ketewamoke Ave
Babylon, NY 11702-1905
Phone: (631) 422-6915
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 005148-1 (NY)

Record details

NPI number1528101037
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 8, 2007

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