Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Clarence Johnson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1710152178

Mr. Clarence Johnson, CCC-SLP is a Speech-Language Pathologist in Cleveland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2008
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1129 Morgan St
Cleveland, MS 38732
Phone: (662) 398-7575
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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 S0851 (MS)

Record details

NPI number1710152178
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 28, 2008
Last updated in NPPESApril 28, 2008

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