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

Individual provider Speech-Language Pathologist · NPI 1417398462

MS. Tracie Lynn Johnson, MS, CCC-SLP is a Speech-Language Pathologist in Peoria Heights, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

5533 N Galena Rd
Peoria Heights, IL 61616-4447
Phone: (309) 682-5428
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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 146007016 (IL)

Record details

NPI number1417398462
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 7, 2013
Last updated in NPPESJuly 7, 2013

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