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

Mrs. Theresa Marie Johnson, MSED

Individual provider Specialist · NPI 1639431901

Mrs. Theresa Marie Johnson, MSED is a Specialist in Amsterdam, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

465 Locust Ave
Amsterdam, NY 12010-1927
Phone: (518) 281-2198
Fax: (518) 843-6761
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 258157 (NY)

Record details

NPI number1639431901
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 13, 2012

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