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Deactivated NPI 1710929765 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn Albert Johnson , PhD

Speech-Language Pathologist • Seattle, WA

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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, Dr. Glenn Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 12, 2006
NPI Deactivation Date July 09, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Johnson, PhD was a registered Speech-Language Pathologist practicing in Seattle, WA. Throughout an active medical career spanning 20 years, Dr. Johnson provided care at the practice location at 2611 NE 125TH ST until profile deactivation on 2026-07-09.

Practice Location & Contact Primary Location

Practice Address

2611 Ne 125th St
Suite 225

Seattle, WA 981254373

Telephone 2063616884
Associated Practice Facility / Clinic
🏢 Therapeutic Associates Inc Facility NPI 1184600934

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
539 Specialists

Practicing in Seattle, WA (4167 Statewide)

Telehealth Adoption Rate
1.3% 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 LL00002989

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Allison Remmers , MD

Psychiatry & Neurology - Psychiatry

NPI 1265545594

Doctor of Medicine (M.D.)

NPI 1346578952

Doctor of Philosophy (Ph.D.)

Dr. Christopher Mccurry , PhD

Psychologist - Clinical

NPI 1396896528

Doctor of Philosophy (Ph.D.)

Dr. Mary-Ellen Diorio , MD

Psychiatry & Neurology - Psychiatry

NPI 1649345042

Doctor of Medicine (M.D.)

Dr. Thomas Duhamel , PhD

Psychologist - Clinical

NPI 1649345083

Doctor of Philosophy (Ph.D.)

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 July 09, 2026

Record deactivated on July 09, 2026

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 2611 NE 125TH ST, SUITE 225, SEATTLE, WA 981254373 (Tel: 2063616884)

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Updated Business Mailing Address July 08, 2007

Registered at 6828 30TH AVE NE, SEATTLE, WA 981157241 (Tel: 2065279105)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN JOHNSON, PHD

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

Speech-Language Pathologist (License #LL00002989 in WA)

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Initial NPI Registration & Enumeration June 12, 2006

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: 1710929765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: July 08, 2007
Deactivation Date: July 09, 2026

Mailing Address

6828 30th Ave Ne

Seattle, WA 981157241

Phone: 2065279105

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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