MR. CLARENCE JOHNSON (NPI# 1710152178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710152178 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE JOHNSON |
| Credential | CCC-SLP |
| Practice Address |
1129 Morgan St. Cleveland MS 38732 |
| Practice Telephone | 6623987575 |
| Mailing Telephone | 6623987575 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S0851 | MS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0112761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023103728 | Clarence Johnson | Physical Therapist | 6560 Fannin St Ste 450, Houston, TX 77030-2735 | 2006-10-04 |
| 1740755594 | Clarence Mcneil Johnson Jr. | Nurse Practitioner | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-10-09 |
| 1649370768 | Clarence M Johnson | Specialist | 12555 Garden Grove Blvd, Suite 206, Garden Grove, CA 92843-1902 | 2006-09-25 |
| 1942317474 | Clarence Johnson | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2598 | 2006-08-23 |
| 1013937713 | Clarence Michael Johnson | Urology | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2006-07-19 |
| 1942278619 | Clarence Birnie Johnson | Internal Medicine | 1161 Cook Rd, Orangeburg, SC 29118-8204 | 2006-03-09 |
| Street Address |
1129 MORGAN ST. |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669091047 | Deborah Phyllis Heideloff | Speech-Language Pathologist | 3033, Central Ave, Cleveland, OH 44115-3044 | 2020-04-15 |
| 1891324034 | Nathanael Webb | Speech-Language Pathologist | 2735 Patterson Rd Se, Cleveland, TN 37323-4035 | 2020-04-08 |
| 1336789536 | Lindsay Vale | Speech-Language Pathologist | 2019 Center St, Cleveland, OH 44113-2368 | 2020-01-15 |
| 1821638735 | Samantha Belman | Speech-Language Pathologist | 2409 W 10th St, Cleveland, OH 44113-4428 | 2020-01-08 |
| 1063052975 | Blissamber Snow White | Speech-Language Pathologist | 4090 E 93rd St, Cleveland, OH 44105-5163 | 2020-01-08 |
| 1598301004 | Emily Ann Byrd | Speech-Language Pathologist | 2019 Center St Ste 203, Cleveland, OH 44113-2358 | 2019-11-19 |
| 1316500523 | Michelle Elizabeth Adessa | Speech-Language Pathologist | Cleveland Clinic Head & Neck Institute Desk A71, Cleveland, OH 44195-0001 | 2019-04-15 |
| 1063983070 | Rebecca Taylor | Speech-Language Pathologist | 14410 Terrace Rd, Cleveland, OH 44112-3928 | 2018-12-17 |
| 1952896524 | Devorah Pollak | Speech-Language Pathologist | 2582 Rubyvale Rd, Cleveland, OH 44118-4620 | 2018-06-26 |
| 1336647726 | Beth Mckenzie Miller | Speech-Language Pathologist | 1027 E 176th St, Cleveland, OH 44119-3109 | 2018-01-31 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.