Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255645818 Individual Practitioner Female Practitioner

Lisa R. Johnson , CCC-SLP

Speech-Language Pathologist • Canandaigua, NY

Professional Overview & Biography Verified Profile Summary

Lisa Johnson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Canandaigua, NY. Practice services are available at 4563 RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4563 Ridge Rd

Canandaigua, NY 144249600

Telephone 5852595316
Fax 5853947547
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Canandaigua, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Canandaigua, NY (25106 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 NY 008351-1

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

6 Historical Events
NPI Profile Active August 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 05, 2010

Registered at 4563 RIDGE RD, CANANDAIGUA, NY 144249600 (Tel: 5852595316)

📍
Updated Business Mailing Address August 05, 2010

Registered at 4563 RIDGE RD, CANANDAIGUA, NY 144249600 (Tel: 5852595316)

👤
Provider Name / Credentials Updated August 05, 2010

Recorded as LISA JOHNSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2010

Speech-Language Pathologist (License #008351-1 in NY)

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Initial NPI Registration & Enumeration August 05, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255645818
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2010
Last Update: August 05, 2010
Sole Proprietor: Yes

Mailing Address

4563 Ridge Rd

Canandaigua, NY 144249600

Phone: 5852595316

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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