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

Mary Johannes

Individual provider Speech-Language Pathologist · NPI 1679055149

Mary Johannes is a Speech-Language Pathologist in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2101 Wooddale Dr Ste A
Woodbury, MN 55125-2933
Phone: (651) 738-9888
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 10171 (MN)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1679055149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESAugust 31, 2018

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