Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619024924 Individual Practitioner Female Practitioner

Sally Johnston , MS, CCC-SLP

Speech-Language Pathologist • Moscow, ID

Professional Overview & Biography Verified Profile Summary

Sally Johnston, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Moscow, ID. Practice services are available at 905 N MEADOW ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

905 N Meadow St

Moscow, ID 838439584

Telephone 2088823381

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Moscow, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Moscow, ID (967 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL00002773

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Asha Member
01108824
Commercial Insurance / Payer ID Liscense Speech-Language
LL00002773 (WA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 905 N MEADOW ST, MOSCOW, ID 838439584 (Tel: 2088823381)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1620 SW SUMMIT CT., PULLMAN, WA 99163 (Tel: 5093325106)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SALLY JOHNSTON, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #LL00002773 in WA)

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Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619024924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1620 Sw Summit Ct.

Pullman, WA 99163

Phone: 5093325106

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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