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

Individual provider Speech-Language Pathologist · NPI 1063867869

Kerry Johnson is a Speech-Language Pathologist in Media, Pennsylvania. Practices as a sole proprietor. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

853 Parkridge Dr
Media, PA 19063
Phone: (610) 742-5291
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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 SL012308 (PA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 41YS00793600 (NJ)

Record details

NPI number1063867869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2016
Last updated in NPPESApril 29, 2016

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