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

Mrs. Tracy Johansen, MEDCCCSLP

Individual provider Speech-Language Pathologist · NPI 1114198124

Mrs. Tracy Johansen, MEDCCCSLP is a Speech-Language Pathologist in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008

Practice location Address checks out

1507 Bramble Dr
Durham, NC 27712-1209
Phone: (919) 358-2520
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 7785 (NC)

Record details

NPI number1114198124
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCCSLP
Sole proprietorYes
NPI enumeratedMarch 18, 2008
Last updated in NPPESApril 12, 2016

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