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Deactivated NPI 1407079098 Deactivated / Inactive NPI Male Practitioner

Stephen Andrew Johnson , MS, CCC, SLP

Speech-Language Pathologist • Germantown, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2007
NPI Deactivation Date June 08, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Stephen Johnson, MS, CCC, SLP was a registered Speech-Language Pathologist practicing in Germantown, MD. Throughout an active medical career spanning 15 years, Stephen Johnson provided care at the practice location at 12650 GREY EAGLE CT until profile deactivation on 2022-06-08.

Practice Location & Contact Primary Location

Practice Address

12650 Grey Eagle Ct
Apt. 14

Germantown, MD 208745318

Telephone 5707065662

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Germantown, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
51 Specialists

Practicing in Germantown, MD (4547 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 MD 05367

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 08, 2022

Record deactivated on June 08, 2022

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 12650 GREY EAGLE CT, APT. 14, GERMANTOWN, MD 208745318 (Tel: 5707065662)

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Updated Business Mailing Address July 08, 2007

Registered at 11260 IVAREA RD, EDINBORO, PA 164123520

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN JOHNSON, M.S.,CCC,SLP

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

Speech-Language Pathologist (License #05367 in MD)

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Initial NPI Registration & Enumeration April 11, 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: 1407079098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Deactivation Date: June 08, 2022

Mailing Address

11260 Ivarea Rd

Edinboro, PA 164123520

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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